Nursing project to reduce the incidence of extracorporeal circulation coagulation in hemodialysis patients
降低血液透析患者体外循环凝血发生率之护理专案

摘要

目的 探讨护理专案在降低血液透析患者体外循环凝血发生率中的应用效果。方法 将2023年1月-9月在我院血液透析中心行血液透析患者为研究对象，在血液透析中心护理组与临床医疗组、营养科团队在循证基础上共同推进该质量改善项目，持续分析现况，确定改善目标，进一步完善了血液透析患者体外循环凝血管理方案。结果 血液透析患者体外循环凝血发生率由专案改善前的6.68%下降至改善后的1.6%，血液透析患者体外循环凝血发生率降低（χ2=745.626，P＜0.001）。结论 多学科合作的护理专案有效降低了血液透析患者体外循环凝血发生率的发生，提升了血液透析团队解决问题的综合能力，保障患者安全，降低患者经济负担，提升科室优质护理服务品质。

Abstract

Objective To investigate the effect of nursing program in reducing the incidence of blood coagulation during cardiopulmonary bypass in hemodialysis patients.
Methods Patients undergoing hemodialysis in the hemodialysis center of our hospital from January to September 2023 were selected as the study objects. The nursing group of the hemodialysis center, clinical medical group and nutrition department jointly promoted the quality improvement project on the basis of evidence, continuously analyzed the current situation, determined the improvement objectives, and further improved the management plan of cardiopulmonary bypass coagulation for hemodialysis patients.
Results The incidence of cardiopulmonary coagulation in hemodialysis patients decreased from 6.68% before improvement to 1.6% after improvement, and the incidence of cardiopulmonary coagulation in hemodialysis patients decreased (χ2=745.626, P < 0.001).
Conclusion   Multi-disciplinary cooperation nursing project can effectively reduce the incidence of CPB coagulation in hemodialysis patients, improve the comprehensive ability of hemodialysis team to solve problems, ensure patient safety, reduce patient economic burden, and improve the quality of department nursing services.