基于循证护理的护理风险评估干预在肾衰竭合并高血压患者并发症预防中的应用  

Application of Evidence-Based Nursing Risk Assessment Intervention in the Prevention of Complications in Patients with Renal Failure Combined with Hypertension

作　　者：张倩[1] 刘双霞[1] 朱容容 ZHANG Qian;LIU Shuang-xia;ZHU Rong-rong(Department of Nephrology,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China;Nephropathy Purpura Ward,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院肾病科,郑州450000 [2]河南中医药大学第一附属医院肾病紫癜病区,郑州450000

出　　处：《四川解剖学杂志》2024年第3期172-174,187,共4页Sichuan Journal of Anatomy

摘　　要：目的:探讨基于循证护理的护理风险评估干预在肾衰竭合并高血压患者并发症预防中的应用效果.方法:选取2022年1月至2023年6月本院收治的83例肾衰竭合并高血压患者为研究对象.按照干预方案,将其分为观察组(n=43,给予基于循证护理的护理风险评估干预)和对照组(n=40,给予常规干预).观察并比较两组患者血压和血肌酐水平、弗汉明心脏病危险评分(FRS)、莫里斯基用药依从性问卷-8项(MMAS-8)和并发症.结果:干预后,观察组患者收缩压、舒张压及血肌酐水平均低于对照组,差异均有统计学意义(P<0.05);观察组患者FRS评分低于对照组,MMAS-8评分高于对照组,差异均有统计学意义(P<0.05);观察组患者并发症发生率低于对照组,差异具有统计学意义(P<0.05).结论:基于循证护理的护理风险评估干预可以提高肾衰竭合并高血压患者血压控制效果和服药依从性,并降低心血管疾病发生风险,有效预防并发症.Objective:To investigate the effectiveness of an evidence-based nursing risk assessment intervention in the prevention of complications in patients with renal failure combined with hypertension.Methods:A total of 83 patients with renal failure combined with hypertension admitted to our hospital from January 2022 to June 2023 were selected as the research objects.According to the intervention programme,they were divided into observation group(n=43,received evidence-based nursing risk assessment intervention)and control group(n=40,received routine intervention)Blood pressure and blood creatinine levels,framingham heart study risk score(FRS),morisky medication adherence scale-8 items(MMAS-8)score and complications were compared between the two groups.Results:After the intervention,patients in observation group had lower systolic and diastolic blood pressure and blood creatinine levels than those in control group,and the differences were statistically significant(P<0.05);the FRS score of observation group was lower than that of control group,and the MMAS-8 score was higher than that of control group,the differences were statistically significant(P<0.05).The complication rate of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).Conclusion:Nursing risk assessment interventions based on evidence-based nursing can improve the effectiveness of blood pressure control and medication adherence in patients with renal failure combined with hypertension,as well as reduce the risk of cardiovascular disease and effectively prevent complications.

关 键 词：循证护理 护理风险评估 肾衰竭 高血压 并发症 

分 类 号：R692.5[医药卫生—泌尿科学] R544.1[医药卫生—外科学]