预防性护理在降低血液透析患者透析性低血压发生中的应用

doi:10.3969/j.issn.2095-378X.2021.03.018

外科研究与新技术 ›› 2021, Vol. 10 ›› Issue (3): 226-229.doi: 10.3969/j.issn.2095-378X.2021.03.018

预防性护理在降低血液透析患者透析性低血压发生中的应用

李瑾¹, 罗小花², 吕超群²

1.南方科技大学医院血透室,广东深圳 518000;
2.深圳市第三人民医院血透室,广东深圳 518112

收稿日期:2020-10-23 出版日期:2021-09-28 发布日期:2022-08-22
作者简介:李瑾（1980—）,女,大学本科,主管护师,从事临床护理工作;电子信箱：lijin755@163.com

Application of preventive nursing in reducing incidence of dialysis hypotension in hemodialysis patients

LI Jin¹, LUO Xiaohua², LYU Chaoqun²

1. Hemodialysis Room, Southern University of Science and Technology Hospital, Shenzhen 518000, Guangdong, China;
2. Hemodialysis Room, The Third People’s Hospital of Shenzhen, Shenzhen 518112, Guangdong, China

Received:2020-10-23 Online:2021-09-28 Published:2022-08-22

摘要/Abstract

摘要： 目的总结预防性护理在降低血液透析患者透析性低血压发生中的效果。方法选取本院2016年4月—2019年12月接收的86例行血液透析治疗的患者,分为两组,各43例。对照组实施常规护理,研究组在对照组的基础上实施预防性护理。观察两组患者低血压发生率、血压变化情况及负性情绪评分。结果透析治疗1个疗程,研究组低血压发生率（6.98%）低于对照组（15.57%）,P<0.05;两组干预前患者收缩压、舒张压、平均动脉压比较无统计学意义（P>0.05）,干预后研究组患者收缩压、舒张压、平均动脉压均高于对照组（均P<0.05）;两组患者干预前SDS、SAS评分比较无统计学意义（P>0.05）,干预后两组SDS、SAS评分均降低,且研究组SDS、SAS评分低于对照组（P<0.05）。结论对行血液透析治疗的患者实施预防性护理,能取得较好的护理效果,能有效预防低血压发生,控制血压水平在正常范围内,缓解患者负性情绪。

关键词: 血液透析, 预防性护理, 低血压, 负性情绪

Abstract: Objective To evaluate the effect of preventive nursing on reducing the occurrence of hemodialysis hypotension in hemodialysis patients. Methods A total of 86 hemodialysis patients from April 2016 to December 2019 were selected and randomly divided into two groups by random number table, with 43 cases in each group. The control group received routine nursing, while the study group received preventive care additionally. The incidence of hypotension, the change of blood pressure, and the score of negative emotion were observed. Results After one course of dialysis treatment, the incidence rate of hypotension in the study group （6.98%） was lower than that in the control group （15.57%）（P<0.05）. There was no significant difference in systolic blood pressure, diastolic blood pressure, and mean arterial pressure between the two groups before intervention （P>0.05）, but after intervention, the three indicators in the study group were higher than those in the control group （P<0.05）. There was no significant difference in SDS and SAS scores between the two groups before intervention （P>0.05）, but after intervention, the two scores of the two groups decreased, and were lower in the study group than in the control group （P<0.05）. Conclusion Preventive nursing care can produce good effect among the patients undergoing hemodialysis, including effectively preventing hypotension, controlling blood pressure, and relieving negative emotions.

Key words: Hemodialysis, Preventive nursing, Hypotension, Negative emotion

中图分类号:

R473.5

李瑾, 罗小花, 吕超群. 预防性护理在降低血液透析患者透析性低血压发生中的应用[J]. 外科研究与新技术, 2021, 10(3): 226-229.

LI Jin, LUO Xiaohua, LYU Chaoqun. Application of preventive nursing in reducing incidence of dialysis hypotension in hemodialysis patients[J]. Surgical Research and New Technique, 2021, 10(3): 226-229.

参考文献

[1] 张俊,姜鸿.慢性肾功能衰竭患者血液灌流联合血液透析治疗效果及对微炎症状态的影响[J].现代诊断与治疗,2019,30(22):3968-3970.
[2] Enajite O, Chimezie GO.Blood pressure variation and its correlates among patients undergoing hemodialysis for renal failure in Benin City, Nigeria[J].Ann Afr Med,2017,16(2):65-69.
[3] 叶文艳. 慢性肾衰竭患者个体化血液透析治疗的研究[J].中国疗养医学,2019,28(12):1319-1320.
[4] 祖源,喻倩,李寒,等.维持性血液透析患者高频透析相关低血压与透析后乳酸水平相关性研究[J].中国血液净化,2019,18(10):669-672.
[5] 潘璐璐,何颖雪,邵国建.维持性血液透析患者发生透析中低血压的相关危险因素分析[J].浙江医学,2019,41(22):2421-2423,2437.
[6] Tian M,Zha Y,Qie S,et al.Tian Maolu,Zha Yan,Qie Shuwen,Lin Xin,Yuan Jing. Association of body composition and intradialytic hypotension in hemodialysis patients.[J].Blood Purificat,2020,49(3):334-340.
[7] 孙娅楠. 维持性血液透析患者焦虑抑郁情绪相关因素分析[J].齐鲁护理杂志,2016,22(1):67-69.
[8] 张志娟,吴艳青.综合护理干预对维持性血液透析症状性低血压临床效果探讨[J].河北医学,2015,21(11):1905-1906,1907.
[9] 马晓华,周亚男,王荣荣,等.持续低效缓慢血液透析治疗终末期糖尿病肾病临床观察[J].解放军医药杂志,2019,31(4):57-59.
[10] 于慧颖,何欢.血液透析联合血液灌流对慢性肾脏病矿物质和骨异常的临床治疗效果[J].中国医学创新,2020,17(7):33-36.
[11] 莫雅文,黄静雅,孙春艳,等.维持性血液透析患者自体动静脉内瘘功能的评价与干预现状[J].护理研究,2020,34(1):119-122.
[12] 汪亚文,杜爱燕,余雁,等.护理流程管理在对接受血液透析治疗的患者进行护理中的应用价值[J].当代医药论丛,2020,18(1):261-262.
[13] 年素娟,李惠莉,李儿,等.预见性护理在预防血液透析过程中发生低血糖的应用研究[J].护理管理杂志,2020,20(8):597-600.
[14] 李倩玲,吴碧静,李观妹.合理运动护理对维持性血液透析患者低血压的预防效应分析[J].护理实践与研究,2018,15(7):39-40.
[15] 王欣,曹艳佩,杨晓莉.血液透析患者频发性透析中低血压发生情况和影响因素分析[J].中国实用护理杂志,2019,35(8):599-603.
[16] 丁婷,谢先顺,张筠,等.维持性血液透析患者透析相关性低血压的影响因素分析[J].中国卫生标准管理,2019,10(19):34-36.
[17] 王佩. 集束化护理在尿毒症患者血液透析中的应用[J].国际护理学杂志,2018,37(18):2510-2512.
[18] 胡秀梅,李芸.分组管理模式对减少血液透析患者发生透析中低血压的研究[J].护士进修杂志,2017,32(4):341-343.
[19] 刘婷,李建荣,宋雯雯,等.延续性护理干预对慢性肾功能衰竭血液透析患者负性情绪及自我管理能力的影响[J].国际精神病学杂志,2017,44(2):374-378.
[20] 王慧,姚苗苗,王金环,等.延续性护理在维持性血液透析患者中的应用[J].护理研究,2020,34(14):2581-2584.

预防性护理在降低血液透析患者透析性低血压发生中的应用

Application of preventive nursing in reducing incidence of dialysis hypotension in hemodialysis patients

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 2

编辑推荐

Metrics

本文评价

[1]	尤宗兰. 长期卧床患者压力性损伤的预防性护理干预措施及临床效果分析[J]. 外科研究与新技术, 2019, 8(1): 65-67.
[2]	奚丰(综述), 张晓庆(审校). 腰麻后仰卧位低血压综合征的研究进展[J]. 外科研究与新技术, 2014, 3(1): 60-64.