预见性护理服务对维持性血液透析高血压患者心脏功能的影响

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【摘 要】目的：研究维持性血液透析（MHD）合并高血压的患者施行预见性护理服务的效果。方法：遴选本院2019年5月至2021年5月收治的68例MHD合并高血压的患者，“硬币分组法”分为参照组（传统护理，n=34）、预见组（预见性护理服务，n=34），比较两组疗效。结果：干预前，两组患者LVEDd、LVESd、LVEF指标差异无统计学意义（P>0.05），干预后，两组患者的LVEDd、LVESd均降低，LVEF指标升高，并且预见组变化幅度大于参照组，差异均具有统计学意义（P0.05），干预后两组患者的DBP、SBP水平均降低，且预见组的变化幅度大于参照组，差异均具有统计学意义（P

【关键词】预见性护理服务；维持性血液透析；高血压；心脏功能

Effect of predictive nursing service on cardiac function of hypertensive patients undergoing maintenance hemodialysis

ZHANG Wenhui

Jiangsu Province Hospital of Chinese medicine， Nanjing， Jiangsu 210029， China

【Abstract】Objective： To study the effect of predictive nursing service on hypertensive patients undergoing maintenance hemodialysis （MHD）. Methods： 68 patients with MHD hypertension treated in our hospital from May 2019 to may 2021 were selected. The "coin grouping method" was divided into reference group （traditional nursing，n=34） and prediction group （predictive nursing service， n=34）.The curative effects of the two groups were compared. Results： There was no significant difference in LVEDd， LVESD and LVEF between the two groups before nursing（P>0.05）. After intervention， LVEDd and LVESD decreased and LVEF increased， and the change range of the prediction group was greater than that of the reference group （P0.05）. After nursing， the DBP and SBP levels of the two groups decreased， and the change range of the prediction group was greater than that of the reference group（P

【Key？Words】predictive nursing service； maintenance hemodialysis； hypertension； cardiac function

研究表明，临床上治疗慢性肾功能衰竭终末期的主要手段以维持性血液透析（Maintenance hemodialysis，MHD）为主，分析其作用原理为：将患者体内毒物、代谢废物清除干净，达到净化血液目的，减缓肾功能衰竭症状、对提高其生存质量有积极作用，但实际透析时极易引起心血管疾病发生[1-2]。（剩余3094字）