儿科患者急性置换疗法 (KRT):在KRT教育中评估护理结构和标准的全国调查
Kara Short1, Alyssa A Riley2, Kyle A Merrill3
1Acute Care Lead APP, Clinical Practice Coordinator, Pediatric and Infant Center for Acute Nephrology, UAB Department of Pediatric Nephrology, Children's of Alabama, Birmingham, AL.
概括
儿科置换疗法 (KRT) 计划显示了显著的实践差异. 标准化KRT护理教育对于提高患者安全和改善儿科脏病治疗结果至关重要.
科学领域:
- 儿科脏病学 儿科脏病学
- 关键护理护理 关键护理护理
- 脏替代疗法 脏替代疗法
背景情况:
- 置换疗法 (KRT) 对患有急性损伤,流体过载和毒素清除的儿科患者至关重要.
- 目前的KRT护理教育缺乏标准化,这对患者的护理构成潜在风险.
- 在各个机构之间存在KRT程序结构和管理的变化.
研究的目的:
- 调查儿科脏病学计划的KRT实践和护理教育.
- 识别KRT实施的变化,并确定标准化的领域.
- 提供证据支持对标准化KRT护理教育的需求.
主要方法:
- 在美国 (2023年美国新闻与世界报道) 和加拿大八个中心的50个顶级儿科脏病学项目中进行了调查.
- 收集的数据包括关于KRT程序结构,机器使用,抗凝策略和护理教育/能力标准化的信息.
- 用描述性统计数据来分析调查答案.
主要成果:
- 大多数被调查的项目 (58.5%) 使用KRT在三个或更多的重症监护病房.
- 高比例的程序使用多台机器 (83%) 和抗凝固策略 (86.8%).
- 虽然96%的机构对教育和能力进行了标准化,但所采用的方法有很大差异.
结论:
- 在不同机构的儿科KRT计划中存在显著的实践差异.
- 标准化KRT护理教育对于提高患者安全和改善治疗结果至关重要.
- 需要进一步的研究和合作来开发和实施标准化的KRT护理课程.
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