Evidence-based personalized and quantitative hydration nursing strategy to prevent contrast-induced nephropathy
基于循证个性化、量化的水化护理策略预防造影剂肾病的实践研究

摘要

目的 循证预防造影剂肾病的水化护理策略实践方案并评价应用效果。方法 对2023年7月至2023年10月与 2022年7月至10月湖南省某三级甲等医院介入血管外科病房住院治疗患者各100例进行前后对比研究。对照组100例专科护士开展常规水化治疗及护理宣教措施，观察组100例专科护士基于循证的水化护理策略，对比两组患者血肌酐、GFR水平，并收集实验组饮水依从性评分、水化执行合格率。结果 观察组患者术后24h血肌酐、GFR水平均低于对照组，差异具有统计学意义（P＜0.05）。观察组患者的饮水依从性高，占比93%；水化执行合格率占98%。结论 专科护士基于循证制定的个性化、量化的患者水化护理策略，可以提高饮水依从性，保障水化的准确落实，降低造影剂肾病的发生率，改善临床疗效。

Abstract

Objective Evidence-based hydration nursing strategy for prevention of contrast-induced nephropathy and to evaluate the application effect.
Methods A comparative study was conducted on 100 patients hospitalized in the interventional vascular surgery ward of a tertiary hospital in Hunan Province from July 2023 to October 2023 and from July to October 2022. A total of 100 specialist nurses in the control group were given routine hydration therapy and nursing education measures, while 100 specialist nurses in the observation group were given evidence-based hydration nursing strategies. The levels of serum creatinine and GFR were compared between the two groups, and the drinking water compliance score and the qualified rate of hydration implementation were collected in the experimental group.
Results The levels of serum creatinine and GFR in the observation group were lower than those in the control group 24 hours after operation, and the differences were statistically significant (P < 0.05). The drinking compliance of the observation group was high, accounting for 93%; The qualified rate of hydration implementation was 98%.
Conclusion  s The individualized and quantitative hydration nursing strategy formulated by specialist nurses based on evidence can improve the compliance of drinking water, ensure the accurate implementation of hydration, reduce the incidence of contrast-induced nephropathy, and improve the clinical efficacy.