Observation of the effect of risk management process in bedside continuous blood purification nursing
风险管理流程用于床旁连续性血液净化护理中的效果观察

摘要

目的 探讨风险管理流程在床旁连续性血液净化（Continuous Renal Replacement Therapy, CRRT）护理中的应用效果。方法 本次研究采用抽样的方式选取研究对象，抽选对象为连续性血液净化患者，从2024年1月至2025年1月期间收治的患者中抽选，共抽选80例并分为两组研究，每组40例，其中常规管理的40例纳入对照组，风险管理流程的40例纳入观察组，对比两组患者的透析充分性、并发症发生率以及生活质量评分。结果 经过护理，从透析效果方面分析，观察组透析充分性指标优于对照组，有统计学意义（P＜0.05）；从安全效果方面分析，观察组风险发生率低于对照组，有统计学意义（P＜0.05）；从生活质量方面分析，观察组生活质量评分均高于对照组，有统计学意义（P＜0.05）。结论 在CRRT护理中实施风险管理流程具有显著积极作用，研究结果显示，这种管理模式可有效减少CRRT患者风险发生率，提高生活质量，值得临床推广。

Abstract

Objective Explore the application effect of risk management process in bedside continuous renal replacement therapy (CRRT) nursing.
Methods This study selected research subjects through sampling, including continuous blood purification patients. A total of 80 patients were selected from patients admitted between January 2024 and January 2025 and divided into two groups of 40 each. Among them, 40 patients under routine management were included in the control group, and 40 patients under risk management procedures were included in the observation group. The adequacy of dialysis, incidence of complications, and quality of life scores of the two groups of patients were compared.
Results After nursing care, from the perspective of dialysis effectiveness analysis, the observation group had better dialysis adequacy indicators than the control group, with statistical significance (P<0.05); From the perspective of safety effectiveness, the risk incidence rate of the observation group was lower than that of the control group, with statistical significance (P<0.05); From the perspective of quality of life, the observation group had higher quality of life scores than the control group, with statistical significance (P<0.05).
Conclusion   The implementation of risk management processes in CRRT nursing has a significant positive effect. Research results show that this management model can effectively reduce the risk incidence of CRRT patients, improve their quality of life, and is worthy of clinical promotion.