Nursing intervention based on Ramsay sedation score in continuous renal replacement therapy of children
10.3760/cma.j.issn.1674-2907.2019.17.002
- VernacularTitle:基于Ramsay镇静评分护理干预在儿童连续性肾脏替代治疗过程中的应用效果
- Author:
Lijuan ZHU
1
;
Yan ZHAO
;
Ying ZHU
;
Xiuping JIN
;
Cuiyun ZHANG
;
Daliang XU
Author Information
1. 安徽省儿童医院肾内科,合肥 230051
- Keywords:
Nursing care;
Child;
Intervention studies;
Ramsay sedation score;
Continuous renal replacement therapy
- From:
Chinese Journal of Modern Nursing
2019;25(17):2116-2119
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To investigate the effects of Ramsay sedation score on the nursing intervention for children undergoing continuous renal replacement therapy(CRRT). Methods? By retrospective non-random sampling, a total of 30 children treated with CRRT in Anhui Children＇s Hospital from January 2016 to May 2017 were assigned into the control group and nursed according to the standard operating procedures of CRRT for children. Another 30 children treated with CRRT from June 2017 to September 2018 were put into the observation group and the Ramsay sedation score was applied to adjust the sedation administration plan according to the results and doctors＇ prescriptions, and nursing intervention was given at the early stage of agitation. Machine alarm, complications and adverse events were compared between the two groups. Results? After nursing intervention with Ramsay sedation score, the incidence of complications including machine alarm (1 time), failed bloodletting (1 time), bleeding at catheter puncture point (4 cases) and unplanned accidental termination of treatment (1 time) in the observation group were lower than those in the control group with statistical significance (P＜0.05). Conclusions? Ramsay sedation score is simple and practical to apply and it is convenient for pediatric blood purification specialized nurses to evaluate its function. It can effectively reduce incidences of CRRT machine alarm, complications and adverse events.
