维持性血液透析患者低血压的预见性个性化护理干预研究

Foresight personalized nursing intervention study of hypotension in maintenance hemodialysis patients

目的:探讨对维持性血液透析过程中出现的低血压进行预见性个性化护理干预的疗效。方法:选取2012年1月至2016年6月我院收治的120例行维持性血液透析而既往透析过程中发生过低血压的患者作为研究对象,随机分为对照组60例和观察组60例,对照组给予患者常规护理,观察组在针对患者低血压形成的原因等方面进行预见性个性化护理干预,比较两组低血压发生情况。结果:观察组患者血液透析过程中低血压的发生率明显降低,从根本上消除致病因素所致的临床症状,保证了患者透析质量。结论:血液透析中采用预见性个性化护理措施可以有效减少低血压的发生。

Objective：Appeared in the course of study on maintenance hemodialysis hypotension of predictive personalized nursing intervention effect.Methods：Selected from January 2012 to June 2012,120 of our hospital routine maintenance hemodialysis and always happened in the process of dialysis hypotension patients as the research object,were randomly divided into control group 60 cases and observation group of 60 cases,patients with the control group given routine nursing care,observation group in the aspects of the causes of the formation of low blood pressure in patients with foresight personalized nursing intervention,compared two groups of patients with low blood pressure what is happening.Results：To observe the average way patients comfort score and nursing satisfaction score were higher than control group,and have obvious difference.In terms of complications,complications patients in observation group（arteriovenous internal fistula stenosis occlusion,thrombosis and hemorrhage,etc.）were significantly less than the control group,and have obvious difference.Conclusion：Hemodialysis in predictable personalized nursing intervention measures can effectively reduce the occurrence of low blood pressure.