Effect of clinical nursing pathway on preventing contrast-induced nephropathy in patients by hydration
10.3760/cma.j.issn.1674-2907.2013.30.004
- VernacularTitle:临床护理路径在水化方式预防造影剂肾病患者中的应用效果观察
- Author:
Guo-Hong ZHUANG
1
;
Mei-Fang GAO
;
Da-Hong ZHAI
;
Xiao-Li HUANG
Author Information
1. 200233,上海交通大学附属第六人民医院心内科
- Keywords:
Clinical nursing pathway;
Hydration;
Contrast-induced nephropathy;
Nursing quality
- From:
Chinese Journal of Modern Nursing
2013;19(30):3706-3709
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the application value of clinical nursing pathway (CNP) on preventing contrast-induced nephropathy(CIN) in patients by hydration.Methods Totals of 166 patients who had selective coronary angiography were randomly divided in the observation group and the control group,each with 83 cases.Both groups received hydration treatment,and the control group used conventional methods while the observation group was under the guidance of CNP.Hospitalization duration and expense,post-operative complications and satisfaction rates were compared between two groups.Results The incidence rate of CIN was 1.2％ in the observation group and 9.8％ in the control group,with statistically significant difference (x2 =5.672,P ＜ 0.05).There were no statistically significant differences in dysuresia,uroschesis and incidence rate of catheterization between two groups (P ＞ 0.05).The hospitalization time and expense was respectively (4.05 ±0.62) d and (12318.29 ±2408.63) yuan in observation group,and (4.89 ±0.87)d and (15762.83 ±3125.42) yuan in the control group,with statistically significant differences (t =7.091,7.874,respectively; P ＜ 0.01).The satisfaction rates of patients and families were (24.43 ± 4.87) and (25.79 ±4.01) in the observation group,and (17.92 ± 3.36) and (18.24 ± 3.12) in the control group,and the differences were statistically significant (t =9.943,13.425,respectively; P ＜ 0.01).Conclusions CNP in hydration to prevent contrast-induced nephropathy can improve the quality of nursing,reduce the incidence of CIN as well as hospitalization time and expense.
