Journal of Modern Nursing MedicineJPCNS

Objective To investigate the effect of nursing program in reducing the incidence of blood coagulation during cardiopulmonary bypass in hemodialysis patients. Methods Patients undergoing hemodialysis in the hemodialysis center of our hospital from January to September 2023 were selected as the study objects. The nursing group of the hemodialysis center, clinical medical group and nutrition department jointly promoted the quality improvement project on the basis of evidence, continuously analyzed the current situation, determined the improvement objectives, and further improved the management plan of cardiopulmonary bypass coagulation for hemodialysis patients. Results The incidence of cardiopulmonary coagulation in hemodialysis patients decreased from 6.68% before improvement to 1.6% after improvement, and the incidence of cardiopulmonary coagulation in hemodialysis patients decreased (χ2=745.626, P < 0.001). Conclusion Multi-disciplinary cooperation nursing project can effectively reduce the incidence of CPB coagulation in hemodialysis patients, improve the comprehensive ability of hemodialysis team to solve problems, ensure patient safety, reduce patient economic burden, and improve the quality of department nursing services.

Hemodialysis; Extracorporeal Circulation Coagulation; Nursing Protocol; Effective Discussion