规律门诊随访对腹膜透析患者高血压控制率及相关疾病转归影响的回顾性分析  

Effect of Regular Outpatient Follow-up on Hypertension Control and Disease Outcome in Patients Undergoing Peritoneal Dialysis:A Retrospective Cohort Study

作　　者：刘丹阳 艾军[1] 李丹[1,4] 廖生武 朱清瑶[1,4] 龚妮容 张婷婷[1] 张广清[3] LIU Dan-yang;AI Jun;LI Dan;LIAO Sheng-wu;ZHU Qing-yao;GONG Ni-rong;ZHANG Ting-ting;ZHANG Guang-qing(Dept.of Nephrology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;General Party Branch of Outpatient and Emergency,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Administrating Office,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;School of Nursing,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院肾内科,广东广州510515 [2]南方医科大学南方医院门急诊片区党总支,广东广州510515 [3]南方医科大学南方医院院办公室,广东广州510515 [4]南方医科大学护理学院,广东广州510515

出　　处：《护理学报》2021年第10期11-16,共6页Journal of Nursing（China）

基　　金：广东省省级科技计划项目(2020A1414040021);南方医科大学护理科研专项(Z2019003)。

摘　　要：目的探究规律门诊随访对腹膜透析患者高血压控制率、高血压相关疾病转归、高血压相关可控因素的影响。方法纳入2009年1月-2019年12月在本中心置管并随访的腹膜透析患者,查阅病历收集患者基线资料、血压资料和相关疾病的记录;调查研究截止时仍未退出腹膜透析的患者高血压相关可控因素。据随访频率分为规律随访组(≥1次/3月)和非规律随访组(<1次/3月),比较2组的高血压控制情况。结果本研究共纳入526例腹膜透析患者,规律门诊随访率为52.3%。规律随访是腹膜透析患者高血压控制的独立影响因素(OR=1.705,95%CI:1.090~2.666,P=0.019)。规律随访与高血压相关疾病转归(退出腹膜透析、心血管疾病、心力衰竭)的发生无影响。规律随访改善了高血压相关可控因素。结论规律门诊随访是改善腹膜透析患者的高血压控制情况的有效手段,应不断提高随访的质量,鼓励患者定期进行门诊随访。Objective To explore the influence of regular outpatient follow-up on hypertension control rate,related diseases outcome and related controllable factors in patients with peritoneal dialysis.Methods Patients with peritoneal dialysis receiving catheterization and follow-up from January 2009 to December 2019 were included.According to the follow-up frequency,they were divided into regular follow-up group(≥once per 3 months)and irregular follow-up group(<once per 3 months).A retrospective cohort study was performed to access the general information,blood pressure data and related disease records of patients in the medical records.The related controllable factors of hypertension were investigated in patients who had not withdrawn from the study at the end of the study.Results A total of 526 patients with peritoneal dialysis were included in this study.The regular follow-up rate was 52.3%.Regular outpatient follow-up was an independent influencing factor for hypertension control in patients with peritoneal dialysis(OR=1.705,95%CI=1.090~2.666,P=0.019)and was not associated with the occurrence of hypertension-related diseases(withdrawal from peritoneal dialysis,cardiovascular disease and heart failure).Regular outpatient follow-up also improved related controllable factors of hypertension.Conclusion Regular outpatient follow-up is an effective approach to improve the control of hypertension in patients with peritoneal dialysis.The quality of follow-up should be improved,and patients are encouraged to make regular outpatient follow-up.

关 键 词：门诊随访 腹膜透析 高血压 回顾性队列研究 

分 类 号：R459.5[医药卫生—治疗学]