- 作者：Marjorie Houllé ; -Veyssiè ; re ; Audrey Courtin ; Norddine Zeroual ; Philippe Gaudard ; Pascal H. Colson ; p-colson@chu-montpellier.fr" class="auth_mail" title="E-mail the corresponding author
- 关键词：Continuous renal replacement therapy ; ICU nurse staff ; Nursing activity ; Nursing work load ; Regional citrate anticoagulation
- 刊名：Intensive and Critical Care Nursing
- 出版年：2016
- 出版时间：October 2016
- 年：2016
- 卷：36
- 期：Complete
- 页码：35-41
- 全文大小：409 K
bsSec_2">Research methodology
We analysed retrospectively the nursing work load caused directly by continuous renal replacement therapy in a cohort of patients admitted consecutively over 10 months. Two types of continuous renal replacement therapy have been compared: dialysis with regional citrate anticoagulation and haemodiafiltration with systemic heparin coagulation.
bsSec_3">Setting
Academic Hospital Intensive Care Unit.
bsSec_4">Main outcome measures
The nursing workload was defined by the time spent in the management of continuous renal replacement therapy, including preparation of the circuit and related biological controls.
bsSec_5">Results
60 patients underwent a total of 202 sessions of continuous renal replacement therapy. The nursing workload as expressed as % time of nursing care was similar (12.3 [9.4–18.8] vs 13.4 [11.7–17.0] %, for haemodiafiltration and dialysis respectively, P = 0.06). However, the distribution of the nursing workload is different: the bigger proportion of care is circuit preparation in haemodiafiltration and biology control in dialysis.
bsSec_6">Conclusions
Nursing time dedicated to continuous renal replacement therapy is similar whatever the renal replacement therapy technique. However, a longer duration of the filter and a better circuit predictability with dialysis and citrate anticoagulation are potential benefits for nursing workload.