目的 总结老年糖尿病肾病(DN)连续性肾脏替代治疗(CRRT)临床护理措施。 方法 2010年2月-2012年3月对15例老年DN患者CRRT治疗中,采取相应的通路与抗凝、饮食、并发症及心理护理。 结果 患者经CRRT 治疗82 h后水肿明显消退,治疗中发生5例低血糖,3例低血压,3例高血压,各种并发症在相应的对症处置和护理后很快缓解,且无感染病例。 结论 老年DN患者行CRRT治疗中容易出现各种并发症,护理人员需要采取相应的护理措施,确保治疗顺利进行及安全。
ObjectiveTo explore the effect of quality control circle (QCC) on the management of hospital medication. MethodsAccording to the existing problems between December 2013 and January 2014, we put forward a series of continuous improvement plans, strengthened the nurses training, and intensified the supervision methods from February to May 2014. ResultsAfter the implementation of QCC, the incidence of leakage from drugs significantly decreased from 15.8% to 0.0%; the nurse-related drug management knowledge rate increased from 64.1% to 92.3%. Withdrawal process execution rate increased from 71.8% to 100.0%, and the difference was statistically significant (P<0.05) from February to May 2014. ConclusionQCC activity improves the hospital medication management, increases the nurses' sense of responsibility, and ensures the medical security of hospitalized patients.