The effect of systematic nursing intervention on continuous blood purification therapy for patients with renal failure complicated with severe heart failure
系统化护理干预对连续性血液净化治疗肾衰竭合并重症心力衰竭患者的影响

摘要

目的 探讨系统化护理干预对接受连续性血液净化（CRRT）治疗的肾衰竭合并重症心力衰竭患者的影响。方法 选择我院2023年11月至2025年11月收治的60例接受CRRT治疗的肾衰竭合并重症心力衰竭患者作为研究对象，依据入院时间分为对照组（n=30）与试验组（n=30），对照组采用常规护理干预，试验组在此基础上采用系统化护理干预，将两组患者心肾功能指标作为对比的因素，并明确并发症发生率方面的区别。结果 试验组干预后的LVEF高于对照组（P＜0.05）；Scr、BUN水平低于对照组（P＜0.05）；试验组的并发症发生率为6.67%，低于对照组的26.67%（P＜0.05）。结论 在行CRRT治疗的肾衰竭合并重症心力衰竭患者中，系统化护理干预的重要性突出，对于改善患者心肾功能有所帮助，避免较多并发症加大患者治疗难度。

Abstract

Objective To explore the effect of systematic nursing intervention on renal failure patients with severe heart failure who receive continuous blood purification (CRRT) treatment.
Methods Sixty patients with renal failure and severe heart failure who received CRRT treatment in our hospital from November 2023 to November 2025 were selected as the research subjects. They were divided into a control group (n=30) and an experimental group (n=30) based on their admission time. The control group received routine nursing intervention, while the experimental group received systematic nursing intervention on this basis. The heart and kidney function indicators of the two groups of patients were compared as factors, and the differences in the incidence of complications were clarified.
Results The LVEF of the experimental group after intervention was higher than that of the control group (P<0.05); Scr and BUN levels were lower than those in the control group (P<0.05); The incidence of complications in the experimental group was 6.67%, which was lower than the 26.67% in the control group (P<0.05).
Conclusion   In patients with renal failure complicated with severe heart failure undergoing CRRT treatment, the importance of systematic nursing intervention is prominent, which can help improve the patient's heart and kidney function, avoid more complications, and increase the difficulty of treatment.