Investigation of related factors of poorly controlled blood pressure of patient in maintenance hemodialysis
10.3760/cma.j.issn.1674-2907.2012.26.012
- VernacularTitle:维持性血液透析患者血压控制不良的相关因素调查
- Author:
Yan-Ping LIANG
1
;
Cui-Yan XIAO
;
Lu WANG
;
Yu-Qiong ZHENG
Author Information
1. 广东医学院附属医院
- Keywords:
Hemodialysis;
Poorly controlled blood pressure;
Related factors;
Nursing intervention
- From:
Chinese Journal of Modern Nursing
2012;18(26):3137-3139
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the related factors of poorly controlled blood pressure of patient in maintenance hemodialysis and take intervening measures accordingly.Methods Among 122 cases of patients with maintenance hemodialysis,107 cases of patients had hypertension,including 61 cases with poorly controlled blood pressure.Those 61 patients were analyzed retrospectively for the related factors.Results Incidence rate of hypertension in patients in maintenance hemodialysis was 87.70％.57％ of the hypertension patients were poorly controlled. Six related factors found by the multi-factor logistic regression analysis are promote erythropoietin application ( 1 U/w) ( P =0.041 )、Kt/V ( P =0.006 ) 、body weight is more 10％ than dry weight (P =0.000) 、dry body mass did not meet ( P =0.006 ) 、the number of weekly dialysis ( P =0.024 )、whether prescribed medication( P =0.000 ).Conclusions Taking appropriate interventions for patients in maintenance hemodialysis with detailed guidance on patients and family members would effectively control blood pressure and get patients the knowledge of medical,nursing and self-caring,which promotes the active treatment and self-care.
