A case study of maintenance hemodialysis nursing for uremia
1例尿毒症维持性血液透析护理案例分析

摘要

本文详细分析1例尿毒症行维持性血液透析（MHD）患者的护理过程。患者合并肾性贫血、肾性骨病、继发性甲状旁腺功能亢进、肾性高血压及高磷血症等多种并发症。护理重点围绕透析充分性管理、顽固性高血压控制、高磷血症综合干预、用药安全指导及年轻患者心理社会支持展开。通过实施个体化透析方案调整、严格饮食与磷结合剂管理、多维度血压监控及强化健康教育等综合护理措施，患者相关并发症得到有效控制，治疗依从性与生活质量显著提升。本案例旨在为MHD患者的精细化护理提供实践参考。

Abstract

This paper analyzes in detail the nursing process of a patient with uremia on maintenance hemodialysis (MHD). The patient had a combination of renal anemia, renal bone disease, secondary hyperparathyroidism, renal hypertension, and hyperphosphatemia and other complications. Nursing care focused on dialysis adequacy management, intractable hypertension control, comprehensive hyperphosphatemia intervention, medication safety guidance and psychosocial support for young patients. Through the implementation of individualized dialysis program adjustment, strict diet and phosphorus binding agent management, multi-dimensional blood pressure monitoring and strengthened health education and other comprehensive nursing measures, the patient's related complications have been effectively controlled, and treatment compliance and quality of life have been significantly improved. This case is intended to provide a practical reference for the fine-tuned care of MHD patients.