首页|基于预警理念的过程质量控制在ICU连续性血液净化患者中的应用效果分析

基于预警理念的过程质量控制在ICU连续性血液净化患者中的应用效果分析

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目的 探讨以预警理念为基础的过程质量控制应用于重症加强护理病房(ICU)连续性血液净化(CBP)患者的效果。方法 选择本院2020年9月-2022年9月收治的50例ICU CBP患者作为研究对象,按随机数字表法分为对照组和观察组,各25例。对照组予以常规干预,观察组在对照组基础上联合基于预警理念的过程质量控制。观察两组的报警频次与治疗时长、过滤器凝血发生情况、并发症、下机情况。结果 观察组的报警频次少于对照组,治疗时长长于对照组(P<0。05)。两组0~7h过滤器凝血发生率的对比差异无统计学意义(P>0。05),观察组8~23h、>24h过滤器凝血发生率均低于对照组(P<0。05)。观察组并发症发生率低于对照组(P<0。05)。观察组的非计划下机发生率低于对照组(P<0。05)。结论 以预警理念为基础的过程质量控制可减少ICU CBP患者治疗过程中的报警次数,并减少不良事件和并发症的发生,进而减少非计划下机情况,延长治疗时间。
Application Effect Analysis of Process Quality Control Based on Warning Concept for Continuous Blood Purification Patients in ICU
Objective To explore effect of process quality control based on early warning concept for patients with continuous blood purification(CBP)in ICU.Methods The paper chose 50 CBP patients in ICU of our hospital from September 2020 to September 2022 as study subjects,and divided them into control group and observation group with random number table method,with 25 cases in each group.Control group was treated with routine intervention,while observation group with combined process quality control based on early warning concept on the basis of control group.Frequency of alarms and treatment duration,incidence of filter clotting,complications and off machine situation were observed between two groups.Results Frequency of alarms in observation group was lower than control group,treatment duration was longer than control group(P<0.05).There was no statistically significant difference in incidence of filter clotting between two groups at 0-7 hours(P>0.05).Incidence of filter clotting in observation group was lower than control group at 8-23 hours and>24 hours(P<0.05).Incidence of complications was 16.00%,lower than 44.00%in control group(P<0.05).Incidence of unplanned off machine in observation group was 24.00%,lower than 52.00%in control group,(P<0.05).Conclusion Process quality control based on early warning concept can reduce number of alarms during treatment of CBP patients in ICU,reduce incidence of adverse events and complications,unplanned off machine situation,and prolong treatment time.

Early warning conceptContinuous blood purificationProcess quality controlFilter coagulation

周丽华

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四会市人民医院(肇庆市中心人民医院),广东 肇庆 526200

预警理念 连续性血液净化 过程质量控制 过滤器凝血

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(14)