中国血液净化

中国血液净化 ›› 2026, Vol. 25 ›› Issue (02): 169-172.doi: 10.3969/j.issn.1671-4091.2026.02.018

• 护理研究 • 上一篇    下一篇

101家医院连续性肾脏替代治疗护理现状的调查研究

曹培叶   左 力  陈 娜   王 磊   

  1. 100044 北京，1北京大学人民医院肾内科
  • 收稿日期:2025-06-05 修回日期:2025-11-15 出版日期:2026-02-12 发布日期:2026-02-02
  • 通讯作者: 左力 E-mail:zuolimd@hotmail.com
  • 基金资助:
    北京大学人民医院研究与发展基金(RDN 2022-21)；北京大学人民医院研究与发展基金(RDN 2023-10)

Investigation on the nursing status of continuous renal replacement therapy in 101 hospitals

CAO Pei-ye, ZUO Li, CHEN Na, WANG Lei   

  1. 1Department of Nephrology, Peking University People ’s Hospital, Beijing 100044, China
  • Received:2025-06-05 Revised:2025-11-15 Online:2026-02-12 Published:2026-02-02
  • Contact: 100044 北京，1北京大学人民医院肾内科 E-mail:zuolimd@hotmail.com

摘要： 目的 了解医院连续性肾脏替代治疗的护理现状，为进一步提高专科护理质量提供参考。 方法 采用便利抽样法，于2023年8月—12月使用自行设计的问卷对101家医院的连续性肾脏替代治疗护理现状进行调查。 结果 共发放115份问卷，回收有效问卷106份，涵盖101家医院中106个护理单元，有效回收率92.17%。感染防控管理方面：91个(85.85%)护理单元使用一次性成品血液净化专用包，74个(69.81%)护理单元使用一次性无菌橡胶手套进行操作，89个(83.96%)护理单元采用成品置换液，80个(75.47%)护理单元采用一次性专用废液收集袋。护理操作方面：57个(53.77%)护理单元管路预冲完成后直接连接上机，60个(56.6%)护理单元治疗，采用医用三通将5%碳酸氢钠注射液连接至体外循环管路静脉端，103个(97.17%)护理单元下机采用密闭式回血技术。护理管理方面：78个(73.58%)护理单元定期开展理论与操作相关考核，51个(48.11%)护理单元已开展相关院内护理会诊，36个(33.96%)护理单元已使用信息化专科护理记录单。 结论 医院连续性肾脏替代治疗的护理现状存在一定差异，建议进一步规范和统一连续性肾脏替代治疗的临床护理标准，促进专科护理质量的提升。

关键词: 连续性肾脏替代治疗, 护理, 横断面研究

Abstract: Objective To understand the current nursing status of continuous renal replacement therapy (CRRT) in hospitals, and provide a reference for further improving the quality of specialized nursing. Methods A convenience sampling method was used. From August to December 2023, a self- designed questionnaire was used to investigate the nursing status of CRRT in 101 hospitals. Results A total of 115 questionnaires were distributed and 106 valid responses from 106 nursing units in 101 hospitals were collected, with an effective recovery rate of 92.17%. In terms of infection prevention and control management, 91 (85.85%) nursing units used disposable ready-made hemodialysis kits, 74 (69.81%) nursing units used disposable sterile rubber gloves for operations, 89 (83.96%) nursing units used ready-made replacement fluid, and 80 (75.47%) nursing units used disposable dedicated waste fluid collection bags. In terms of nursing operations, 57
(53.77%) nursing units directly connected the circuit after priming, 60 (56.6%) nursing units used a medical three-way stopcock to connect 5% sodium bicarbonate injection to the venous end of the extracorporeal circulation circuit during treatment, and 103 (97.17%) nursing units used closed blood return technology when disconnecting the machine. In terms of nursing management, 78 (73.58%) nursing units regularly conducted theoretical and operational assessments, 51 (48.11% ) nursing units have already carried out related in- hospital nursing consultations, and 36 (33.96%) nursing units have already used information-based specialized nursing record sheets. Conclusion There are several differences in the nursing care of CRRT among hospitals. It is recommended to further standardize and unify the clinical nursing standards for CRRT to promote the improvement of specialized nursing quality. 

Key words: Continuous renal replacement therapy, Nursing, Cross-sectional study

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