Application of Risk Assessment Nursing Intervention in Critically Ill Patients with Continuous Renal Replacement Therapy in Intensive Care Unit

LI Yunyang; CAO Yanfen

doi:10.14033/j.cnki.cfmr.2024.31.018

Abstract：Objective:To investigate the application of risk assessment nursing intervention in critically ill patients with continuous renal replacement therapy (CRRT) in Intensive Care Unit.Method:A total of 105 critically ill patients who treated with CRRT in the Intensive Care Unit (ICU) of General Hospital of Ningxia Medical University from January 2021 to December 2023 were selected as the research objects,they were divided into the control group (n=51) and the observation group (n=54) by random number table method.The control group was treated with routine nursing intervention,and the observation group was treated with risk assessment nursing intervention.The nursing effect,modified early warning score (MEWS),Chinese ICU mobility scale (IMS) score before and after intervention and complication rate were compared between two groups.Result:The time of pipeline use in the observation group was longer than that in the control group,the frequency of alarm was less than that in the control group,and the probability of unplanned discharge was lower than that in the control group,the differences were statistically significant (P<0.05);after intervention,the MEWS scores of two groups were lower than those before intervention,and that in the observation group was lower than that in the control group,the IMS scores of two groups were higher than those before intervention,and that in the observation group was higher than that in the control group,the differences were statistically significant (P<0.05);the incidence of complications in the observation group was 7.41％,which was lower than 21.57％ in the control group,and the difference was statistically significant (P<0.05).Conclusion:The use of risk assessment nursing intervention in critically ill patients in CRRT ICU can prolong the use time of pipeline,reduce the frequency of alarm and unplanned discharge,enhance limb movement function,and reduce the incidence of complications.