The effects of blood pressure management and nursing interventions in hemodialysis patients
血液透析患者的血压管理及护理干预的效果

摘要

目的 探讨血液透析患者的血压管理及护理干预效果。方法 选取2023年5月-2024年5月80例血液透析患者，随机分为实验组与对照组，对照组给予常规护理，实验组实施综合血压管理与护理干预，包括动态血压监测、个性化饮食干预、透析方案调整，采用特定统计方法对比两组血压控制达标率、低血压及高血压发生率、生活质量评分等观察指标。结果 实验组血压控制达标率为80%（32/40），低血压发生率10%（4/40），高血压发生率12.5%（5/40），生活质量评分（75.2±10.5）分；对照组分别为55%（22/40）、25%（10/40）、30%（12/40）、（60.5±12.0）分，实验组各项指标均优于对照组（P<0.05）。结论 综合血压管理与护理干预可显著提高血液透析患者血压控制效果，降低血压异常发生率，提升生活质量，应在临床推广应用并深入研究优化策略。

Abstract

Objective To explore the blood pressure management and the effectiveness of nursing interventions in hemodialysis patients.
Methods A total of 80 hemodialysis patients from May 2023 to May 2024 were randomly divided into an experimental group and a control group. The control group received routine nursing care, while the experimental group implemented comprehensive blood pressure management and nursing interventions, including ambulatory blood pressure monitoring, personalized dietary intervention, and adjustment of dialysis regimen. Specific statistical methods were used to compare the blood pressure control rate, incidence of hypotension and hypertension, and quality of life scores between the two groups.
Results The blood pressure control rate in the experimental group was 80% (32/40), the incidence of hypotension was 10% (4/40), the incidence of hypertension was 12.5% (5/40), and the quality of life score was (75.2±10.5) points; the control group had rates of 55% (22/40), 25% (10/40), 30% (12/40), and a quality of life score of (60.5±12.0) points, respectively. All indicators in the experimental group were superior to those in the control group (P<0.05).
Conclusion   Comprehensive blood pressure management and nursing interventions can significantly improve the blood pressure control effect in hemodialysis patients, reduce the incidence of blood pressure abnormalities, and enhance the quality of life. These practices should be promoted in clinical settings and further studied to optimize strategies.