International Journal of Nursing Research

Objective To explore the effect of predictive nursing in patients with continuous renal replacement therapy (CRRT). Methods 71 patients with CRRT treated in our hospital from February 2018 to January 2022 were selected as the research object. They were divided into the research group (36 cases) and the control group (35 cases) according to the order of diagnosis and treatment. The control group used routine nursing, and the study group used predictive nursing on this basis. All patients were nursed for 3 months. Before and after nursing, cd-risc was used to evaluate the psychological elasticity of the two groups; After nursing, the activated partial thromboplastin time (APTT) of the two groups was measured by the sensitive screening test of coagulation activity of endogenous coagulation system, and the thrombin time (TT) and plasma prothrombin time (PT) were measured by the screening test of exogenous coagulation pathway of human response; Quality of life (eortcqlq-c30) was used to evaluate the quality of life of the two groups before and after nursing; Before and after nursing, the biochemical indexes of serum creatinine (SCR), urea nitrogen (BUN), serum potassium (k) and serum sodium (NA) were measured by automatic biochemical instrument combined with supporting reagents. Results the score of psychological elasticity and quality of life in the study group were higher than those in the control group, and the coagulation time and biochemical indexes were lower than those in the control group (P < 0.05). Conclusion the clinical effect of predictive nursing for CRRT patients is remarkable, and the psychological elasticity and various biochemical indexes of patients have been significantly improved. It can not only effectively shorten the coagulation time, but also improve their quality of life, which is worthy of popularization and application.

Predictive Nursing; Continuous Renal Replacement Therapy; Resilience Score; Coagulation Time; Biochemical Index