健康教育在血液透析滤过治疗难治性高血压护理中的应用及对患者QOL评分的影响

The Application of Health Education in the Nursing of Patients with Refractory Hypertension Treated by Hemodialysis and Filtration and Its Influence on QOL Score

目的:探讨健康教育在血液透析滤过治疗难治性高血压护理中的应用及对患者QOL评分的影响。方法:选取2018年2月-2019年2月于本院住院的尿毒症难治性高血压患者82例,根据随机数字表法将其分为研究组和对照组,每组41例。对照组应用常规健康教育,研究组应用针对性健康教育。比较两组患者血压控制情况、心理健康状况、遵医依从性及生活质量情况。结果:干预后,研究组收缩压、舒张压、SDS及SAS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,两组血浆肾素、血管紧张素Ⅱ水平均低于干预前,且研究组均低于对照组,差异均有统计学意义(P<0.05)。研究组主动咨询、药物干扰、频繁换医、服药方式错误、只用降压仪或中药、体重指数超标、缺乏锻炼或方式不妥、习惯不良或睡眠不足、高盐饮食、中等量饮酒或酗酒、吸烟的依从性均优于对照组,差异均有统计学意义(P<0.05)。研究组的独立能力、心理状况、生活环境、身体机能、社会关系评分均高于对照组,差异均有统计学意义(P<0.05)。结论:健康教育应用在血液透析过滤治疗难治性高血压患者护理中,患者心理健康状况良好,血压有明显降低,血浆肾素、血管紧张素Ⅱ水平也有明显改善,患者遵医依从性较高,有利于提高治疗效果,改善患者生活质量,具有较高的应用价值。

Objective: To explore the application of health education in nursing care of refractory hypertension treated by hemodiafiltration and its effect on patients’ QOL score. Method: A total of 82 cases of uremia refractory hypertension patients hospitalized in our hospital from February 2018 to February 2019 were selected. According to the random number table method, they were divided into study group and control group, 41 cases in each group. The control group received routine health education, the research group applied targeted health education. Blood pressure control, mental health, compliance and quality of life were compared between the two groups. Result: After the intervention, the scores of systolic blood pressure, diastolic blood pressure, SDS and SAS in the study group were lower than those of control group, the differences were statistically significant(P<0.05). After the intervention, the levels of renin and AngⅡ in the two groups were lower than those of before the intervention, the study group of those were lower than those of the control group, the differences were statistically significant(P<0.05). The compliance of active consultation, drug interference, frequent change of medical treatment, wrong way of taking medicine, using only antihypertensive device or traditional Chinese medicine, overweight body mass index, lack of exercise or improper way, bad habits or insufficient sleep, high salt diet, moderate amount of drinking or drinking, smoking in the study group were better than those of the control group, the differences were statistically significant(P<0.05). The scores of independent ability, psychological status, living environment, physical function and social relationship in the study group were higher than those of control group, the differences were statistically significant(P<0.05). Conclusion: The application of health education in the nursing of patients with refractory hypertension treated by hemodialysis filtration has a good mental health, a significant reduction in blood pressure, a significant improvement in plasma renin and angiotension Ⅱ levels, a high compliance of patients with medical treatment, which is conducive to improving the treatment effect, improving the quality of life of patients, and has a high application value.