维持性血液透析合并高血压患者的家庭血压监测现况及影响因素  

The current status and affecting factors of blood pressure monitoring at home in maintenance hemodialysis patients with hypertension

作　　者：郑晶 黄凯涛 张小琴[2] 谢叶丽[3] 许梅芳 由天辉 ZHENG Jing;HUANG Kaitao;ZHANG Xiaoqin;XIE Yeli;XU Meifang;YOU Tianhui(School of Nursing,Guangdong Pharmaceutical University,Guangzhou 510310,China;不详)

机构地区：[1]广东药科大学护理学院,广州510310 [2]茂名市人民医院肾内科血液净化中心,广东茂名525000 [3]汕头市中心医院血液净化中心,广东汕头515031 [4]韶关市第一人民医院血透室,广东韶关512000

出　　处：《实用医学杂志》2021年第16期2147-2151,共5页The Journal of Practical Medicine

基　　金：广东省自然科学基金项目(编号:2018A030313514);广东省哲学社会科学“十三五”规划学科共建项目(编号:GD16XGL48)。

摘　　要：目的了解维持性血液透析合并高血压患者的家庭血压监测现状及影响因素。方法2019年6-8月对681例维持性血液透析合并高血压患者的家庭血压监测行为现状进行横断面调查,分析规律监测家庭血压的影响因素。结果患者家庭血压自测率为61.1%,在家庭血压监测频率、测量时间、重复测量次数、测量结果记录总体规范执行率分别为76.5%、46.0%、31.4%和15.3%。多因素logistic回归分析显示,服用降压药物、吸烟、透析龄是患者规律监测家庭血压的影响因素。结论维持性血液透析合并高血压患者的家庭血压自测率总体较高,但多数患者的监测行为尚不规范。未服用降压药物、吸烟、长透析龄的患者是家庭血压监测不规范的高危人群。Objective To investigate the current status and affecting factors of blood pressure monitoring at home in maintenance hemodialysis patients with hypertension.Methods From June 2019 to August 2019,a cross⁃sectional survey on blood pressure monitoring at home was conducted in 681 maintenance hemodialysis patients with hypertension.The affecting factors of regular home blood pressure monitoring at home were analyzed.Results The rate of self⁃measurement at home was 61.1%。The standard implementation rates of monitoring frequency,time to measurement,number of repeated measurement,and records of measurement results were 76.5%,46.0%,31.4%and 15.3%,respectively.Multivariate logistic regression analysis showed that use of antihypertensive drugs was the affecting factor of regular measurement of blood pressure.Conclusions The self⁃measurement rate of blood pressure was generally higher in maintenance hemodialysis patients with hypertension.However,the measurement was still lack of standardization in most of the patients.The patients who do not take antihypertensive drugs,smoke,and have prolong dialysis are at high risk for not monitoring home blood pressure normatively.

关 键 词：血液透析 高血压 家庭血压监测 

分 类 号：R459.5[医药卫生—治疗学] R544.1[医药卫生—临床医学]