针对性护理干预对MHD患者血压的影响.docVIP

精品论文 参考文献 针对性护理干预对MHD患者血压的影响 梁艳萍 　　（广东省惠州市第一人民医院肾病风湿科 广东惠州 516000） 　　【摘要】目的 观察针对性护理干预对维持性血液透析(MHD)患者血压的的影响。方法　选取2012年1月-2013年1月间我院肾内科收治的100例MHD伴高血压患 者随机分成观察组和对照组，两组各50例。对照组予以行常规护理；观察组在常规护理的基础上给予有针对性的个性化护理干预措施，可以从患者及家属的心理、用药、行为、饮食、治疗等方面进行干预，1月后对两组患者的血压进行测定和统计，比较两组血压值以及生活质量的差异性。结果　两组患者护理干预前的收缩压及舒张压无明显差异，pgt;0.05,护理干预后两组患者的收缩压、舒张压均有明显下降，但观察组血压下降较对照组更明显，差异有统计学意义(Plt;0.05) 干预组患者的血压控制明显优于对照组(Plt;O.05)。我们从护理干预后患者的运动，饮食，睡眠，血压控制情况等方面综合对患者的生活质量作了分析，观察组生活质量明显较对照组较好，差异有统计学意义，plt;0.05。结论　对透析患者进行 有针对性的护理干预，能够对患者的血压形成有效的控制和稳定.从而减少心血管意外的发生，提高惠者的治疗后的生活质量。 　　【关键词】 MHD 血压控制 针对性护理干预 生活质量 　　【中图分类号】R473.5 【文献标识码】B 【文章编号】2095-1752（2014）09-0338-02 　　The impact of targeted nursing intervention on blood pressure in MHD patients 　　【Abstract】 Objective: To observe the effects of nursing interventions targeted on maintenance hemodialysis (MHD) patients of blood pressure.Methods: between January 2012 January 2013 admitted to our hospital 76 cases of Nephrology MHD patients with hypertension were randomly divided into observation group and control group, two groups of 38 cases. The control group received routine care; observation group was given a targeted and personalized care interventions in routine care, based on the possible intervention from the patient and family psychology, medicine, behavior, diet, treatment, etc., after January of two groups of patients were measured blood pressure and statistics,blood pressure values ??were compared and the differences in quality of life.Results: The two groups were systolic and diastolic blood pressure before nursing intervention was no significant difference,pgt; 0.05,two groups of patients after the nursing intervention systolic and diastolic blood pressure were significantly decreased, but the observation group than the control group decreased blood pressure is more obvious, the difference was statistically significant (P lt;0.05) in patients with blood pressure control intervention