Background The prevalence rate of hypertension has progressively increased over the years; and if undiagnosed or remains uncontrolled for a long period, it is often accompanied by end organ damage involving the retina...Background The prevalence rate of hypertension has progressively increased over the years; and if undiagnosed or remains uncontrolled for a long period, it is often accompanied by end organ damage involving the retina, brain, kidney, heart and arteries. Hypertensive nephropathy, a conse- quence of microvascular damage to the kidneys, has become more prevalent and ranks high among the causes of chronic renal failure. Due to its concealment by a normal renal function, which is the traditional assay for kidney dysfunction, and a lack of obvious clinical symptoms, hypertensive ne- phropathy is often diagnosed late. The utility of microalbuminuria, a sensitive biomarker for the clinical evaluation of glomerular injury and early prediction of hypertensive renal damage has been evaluated by several studies. Several nursing interventions can slow the progression of renal injury in hypertensive patients, yet this clinical approach remains unharmed. Methods From April 2015 to January 2016, 216 hypertensive patients from our hospital, comprising 110 males and 106 fe- males, were recruited according to the JNC VII criteria. The patients were divided into two groups： experimental group and control group, one group comprising 58 males and 50 females, the other group comprising 60 males and 48 females. Microalbuminuria testing conducted and a survey of knowledge and treatment compliance for renal impairment was assessed with a structured standard- ized questionnaire before any nursing interventions. Early nursing interventions including psycho- logical nursing, diet nursing, exercise guidance were instituted and retesting done for comparative analysis for experimental group. Results Before nursing intervention the hypertensive renal impair- ment cognitive differences between two groups of patients had no statistical significance （P 〉 0.05）. Through nursing interventions, urine microalbumin detection decreased from 43% to 35%, and the awareness of early renal injury improved albumin decrease by 91% and renal impairment reversal was significantly higher than that of the control group （P 〈 0.01）. Conclusion In hyperten- sive patients, routine microalbuminuria testing improves early detection of hypertensive nephropa- thy, and a systematic nursing intervention is associated with a reduction in microalbuminuria hence delays the progression of renal damage.展开更多
文摘Background The prevalence rate of hypertension has progressively increased over the years; and if undiagnosed or remains uncontrolled for a long period, it is often accompanied by end organ damage involving the retina, brain, kidney, heart and arteries. Hypertensive nephropathy, a conse- quence of microvascular damage to the kidneys, has become more prevalent and ranks high among the causes of chronic renal failure. Due to its concealment by a normal renal function, which is the traditional assay for kidney dysfunction, and a lack of obvious clinical symptoms, hypertensive ne- phropathy is often diagnosed late. The utility of microalbuminuria, a sensitive biomarker for the clinical evaluation of glomerular injury and early prediction of hypertensive renal damage has been evaluated by several studies. Several nursing interventions can slow the progression of renal injury in hypertensive patients, yet this clinical approach remains unharmed. Methods From April 2015 to January 2016, 216 hypertensive patients from our hospital, comprising 110 males and 106 fe- males, were recruited according to the JNC VII criteria. The patients were divided into two groups： experimental group and control group, one group comprising 58 males and 50 females, the other group comprising 60 males and 48 females. Microalbuminuria testing conducted and a survey of knowledge and treatment compliance for renal impairment was assessed with a structured standard- ized questionnaire before any nursing interventions. Early nursing interventions including psycho- logical nursing, diet nursing, exercise guidance were instituted and retesting done for comparative analysis for experimental group. Results Before nursing intervention the hypertensive renal impair- ment cognitive differences between two groups of patients had no statistical significance （P 〉 0.05）. Through nursing interventions, urine microalbumin detection decreased from 43% to 35%, and the awareness of early renal injury improved albumin decrease by 91% and renal impairment reversal was significantly higher than that of the control group （P 〈 0.01）. Conclusion In hyperten- sive patients, routine microalbuminuria testing improves early detection of hypertensive nephropa- thy, and a systematic nursing intervention is associated with a reduction in microalbuminuria hence delays the progression of renal damage.
