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| Application of different temperature intervention methods in continuous blood purification for eldly patients with acute renal failure |
| WANGLi-li1,3 LIU Li2▲ MENG Kun3 |
1.Binzhou Medical University School of Nursing,Shandong Province,Binzhou 256603,China;
2.Department of Nursing,Binzhou Medical University Hospital,Shandong Province,Binzhou 256603,China;
3.Intensive Care Unit,Binzhou Medical University Hospital,Shandong Province,Binzhou 256603,China |
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Abstract ObjectiveTo explore the effect of two different body temperature interventions on the prevention of hypothermia during CBP treatment in elderly patients with renal failure.Methods Seventy-six elderly patients with acute renal failure treated with CBP in our hospital from January to December 2017 were randomly divided into control group and observation group with 38 cases in each group.The control group was treated with conventional nursing method and quilt covering method.At the beginning of CBP treatment,the observation group was treated with inflation heating blanket.The heart rate,mean arterial pressure,rectal temperature and hypothermia during CBP treatment were recorded at 1,2,4,8 h and 12 h after CBP treatment.Results There was no significant difference in heart rate and mean arterial pressure between the observation group and the control group at 1,2,4,8 h and 12 h after CBP treatment(P＞0.05).There was no significant difference in heart rate and mean arterial pressure between the two groups at 2,4,8,12 h after CBP treatment and 1 h after CBP treatment(P＞0.05).The rectal temperature in observation group was higher than that in control group at 1,2,4,8 h and 12 h after CBP treatment(P＜0.05).The rectal temperature of two groups of patients at 2,4,8 h and 12 h after CBP treatment was lower than that at 1 h after CBP treatment(P＜0.05).The incidence of hypothermia in the observation group was lower than that in the control group at 1,2,4,8 h and 12 h after CBP treatment,and the longer the treatment time,the greater the difference in the incidence of hypothermia.There was no significant difference in the incidence of hypothermia at 1 and 2 h after treatment between the observation group and the control group (P＞0.05).the incidence of hypothermia at 4,8 h and 12 h after treatment between the observation group and the control group was statistically significant(P＜0.05).Conclusion Forced-Air Warming blanket is an effective body temperature intervention method during CBP therapy which can reduce the incidence of hypothermia.
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