肾移植术后高尿酸血症监测与护理干预

Prevention and nursing measure in kidney transplantation patients with hyperuriceamia

目的探讨对肾移植术后高尿酸血症的护理干预对策及其效果。方法对254例肾移植受者血尿酸水平进行监测，探讨促进肾移植受者血尿酸水平增高的因素，并探讨护理干预包括卫生宣教、饮食和生活指导、运动指导、服药指导等对改善患者高尿酸血症的效果。结果在肾移植受者中，高尿酸血症发生率达57．9％，与卫生宣教不足、不良饮食和生活习惯、活动过少、某些药物使用等因素有关。结论肾移植受者高尿酸血症发生率高于普通人群，细致的术后护理干预措施可减少高尿酸血症发生率，以及需要药物降尿酸治疗患者的比率及药量。

Objective To evaluate the measure and effective of nursing prevention for the renal transplantation patients with hyperuiceamie. Methods The serum uric acid level was observed in 254 renal transplantation patients. The factors relate to the patients＇ uric acid level elevation were investigated and the measures of nursing prevention for the patients with hyperuriceamia including healthy education, diet direction, live direction, physical activity direction and instruction of taking medicine were explored. Results There were up to 57.9% of renal transplantation patients had one or more times of hyperuriceamia episode, which relate to insufficient in healthy education, poor habit in diet and live, no enough physical ctivity and taking certain medicine. Conclusion The results suggest that the morbility of hyperuriceamia are higher in renal transplantation patients than common people. Intensive nursing prevention could reduce morbility of hyperuriceamia and dose of allopurinol in urate - lowering therapy.