Explore The Bundles Of Care To The CRRT Patients In ICU

Objective: To explore the application effect of bundle care in the CRRT patients in ICU.Method: We had used two methods in 40 cases of CRRT patients, their disease severity were evaluated by APACHEⅡ scoring system, they were randomly divided into control group(usual care group)and intervention group,20 cases in each group. Control group were given usual care by general specialist, the intervention group patients accepted the bundles of care.By this study explore the bundle of nursing methods to the CRRT patients in ICU. Repeated measurement data using SPSS17.0 statistical software for statistical analysis. All measurement data are presented as mean ± standard deviation( x± S).Results: The results showed that patency rates in the intervention group are 55%(11/20), the control group’s patency rates are 25%(5/20).There are significant difference between the two groups(x2=7.03,p=0.01). The average time for each filter using were different significantly(p<0.05). In the two groups, arterial pressure, venous pressure, trans membrane pressure were different significantly(p<0.05), showing that the function of vascular access in the intervention group are better than the control group.Conclusion:1. The incidence of poor vascular access in CRRT treatment were related to patients. Own reasons and the technology of nursing. Awareness of risk factors for patients and improving nursing techniques in CRRT can increase the patency rates of vascular access of critically ill patients.2. Bundles of care in CRRT can effectively maintain the smooth of vascular access, extend the filter’s use time, reduce the number of filters-used, which can ensure continuity of treatment and can reduce the financial burden of patients. The bundle of nursing methods can be used the anticoagulant treatment of patients in CRRT to critical ones for high-risk of bleeding,which can ensure continuity of treatment and can reduce the financial burden of patients.