Journal of Modern Nursing MedicineJPCNS

Objective To explore the application of whole course fine nursing combined with hydrationtherapy in preventing post angiography contrast nephropathy (CIN) in patients with cerebral infarction. Methods230 patients with cerebral infarction undergoing angiography who were enrolled in our department before theimplementation of the whole process fine nursing combined with hydration therapy (January 2019 to June 2019)were randomly selected and included in the control group for routine nursing; After the implementation of thenursing model (July 2019 December 2019), 230 patients with cerebral infarction undergoing angiography wererandomly selected and included in the study group. The difference of fluid intake and output (oral rehydrationintake and urine volume) between the two groups within 24 hours before operation and within 24 hours afteroperation was recorded; The difference of CIN incidence and hospitalization time between the two groups wascompared. Results The intake of oral rehydration and urine volume of patients in the study group were higher thanthose in the control group within 24 hours before operation and 24 hours after operation （P<0.05); The incidenceof CIN in the study group was lower than that in the control group (P＜0.05). Conclusion The whole process finenursing combined with hydration therapy is helpful to increase the perioperative fluid intake and output of cerebralinfarction patients undergoing angiography, reduce the incidence of CIN, shorten the length of hospital stay, andimprove their psychological status.

whole process; Refinement; nursing; Hydration therapy; prevention; Cerebral infarction;Angiography; Postoperative; Contrast nephropathy