个体化护理对维持性血液透析高血压患者用药依从性及血压控制的作用

The Effect of Individualized Nursing on Drug Compliance and Blood Pressure Control in Maintenance Hemodialysis Patients With Hypertension

目的探讨分析个体化护理对维持性血液透析高血压患者用药依从性及血压控制的作用。方法选取58例维持性血液透析伴发高血压患者作为研究对象,将其随机分为观察组和对照组,每组各29例。对照组患者给予常规护理,观察组给予个体化护理干预。结果观察组患者用药依从性不佳者2例,用药依从率为93.1%(27/29),高于对照组的72.4%(21/29);观察组患者用干预后3个月和6个月收缩压及舒张压均分别低于对照组,以上指标对比,差异均具有统计学意义(P<0.05)。结论个体化护理可以有效控制维持性血液透析合并高血压患者的血压,并有助于提高患者用药的依从性。

Objective To investigate the effect of individualized nursing on drug compliance and blood pressure control in maintenance hemodialysis patients with hypertension. Methods 58 patients with maintenance hemodialysis complicated with hypertension were randomly divided into observation group（n=29） and control group（n=29）. The patients in the control group were given routine nursing and the observation group was given individualized nursing intervention. Results There was 2 patients with poor compliance in the observation group. The compliance rate of the observation group was 93.1%（27/29）, which was significantly higher than that of the control group 72.4%（21/29）. In the observation group, the compliance rate was 3 months and 6 months systolic and diastolic blood pressure were lower than the control group, the differences were statistically significant about above indicators（P〈0.05）. Conclusion Individualized nursing can effectively control the blood pressure of maintenance hemodialysis patients with hypertension, and help to improve the compliance of medication.