Open Access Article
Contemporary Nursing. 2025; 6: (7) ; 172-175 ; DOI: 10.12208/j.cn.20250376.
Early warning and nursing intervention effect analysis of hypotension events in hemodialysis patients
血液透析患者低血压事件的早期预警与护理干预效果分析
作者：
李娜 *,
赛尼曼·亚森
新疆维吾尔自治区喀什地区第二人民医院肾病科血透室 新疆喀什
*通讯作者：
李娜,单位：新疆维吾尔自治区喀什地区第二人民医院肾病科血透室 新疆喀什；
发布时间: 2025-07-31 总浏览量: 18
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摘要
目的 分析血液透析患者低血压事件的早期预警与护理干预效果。方法 研究样本为40 例血液透析患者，研究时间为2024年1月-2024年12月。分组工作以随机数字表法完成，两组各20例。给予对照组常规血液透析护理，给予观察组低血压早期预警与针对性护理。统计低血压发生率，记录透析前后血压变化情况，检测透析充分性指标，评估护理满意度。结果 观察组低血压事件发生率为5.00%,显著较对照组的30.00%低，P＜0.05；观察组透析后1h、2h舒张压分别为（82.39±5.37）mmHg、（75.62±4.38）mmHg，1h、2h收缩压分别为（126.34±8.56）mmHg、（120.87±7.63）mmHg，波动幅度小于对照组，P＜0.05；观察组尿素清除率Kt/V为（1.68±0.12）、β2-微球蛋白清除率为（68.54±6.23）ml/min，与对照组相比有显著差异，P＜0.05；结论 血液透析患者低血压事件的早期预警与护理干预效果极佳，值得推广。
关键词： 血液透析；低血压事件；早期预警与护理
Abstract
Objective To analyze the early warning and nursing intervention effects of hypotension events in hemodialysis patients. Methods The study sample consisted of 40 hemodialysis patients and the study period was from January 2024 to December 2024. The grouping work was completed using a random number table method, with 20 cases in each group. Provide routine hemodialysis care to the control group and early warning and targeted care for hypotension to the observation group. Count the incidence of hypotension, record changes in blood pressure before and after dialysis, measure dialysis adequacy indicators, and evaluate nursing satisfaction. Results The incidence of hypotensive events in the observation group was 5.00%, significantly lower than the control group's 30.00%, P＜0.05; The diastolic blood pressure at 1 hour and 2 hours after dialysis in the observation group was (82.39 ± 5.37) mmHg and (75.62 ± 4.38) mmHg, respectively. The systolic blood pressure at 1 hour and 2 hours was (126.34 ± 8.56) mmHg and (120.87 ± 7.63) mmHg, respectively, with smaller fluctuations compared to the control group, P＜0.05; The urea clearance rate Kt/V and β 2-microglobulin clearance rate of the observation group were (1.68 ± 0.12) and (68.54 ± 6.23) ml/min, respectively, which showed significant differences compared with the control group, P＜0.05. Conclusion Early warning and nursing intervention for hypotension events in hemodialysis patients are highly effective and worthy of promotion.
Key words： Hemodialysis; Hypotension events; Early warning and nursing
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引用本文
李娜, 赛尼曼·亚森, 血液透析患者低血压事件的早期预警与护理干预效果分析[J]. 当代护理, 2025; 6: (7) : 172-175.