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循证护理在血液透析并发低血压患者中的应用效果 被引量:1

Application effect of evidence-based nursing in patients with hemodialysis complicated with hypotension
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摘要 目的研究循证护理(EBN)在预防血液透析并发低血压患者中的应用效果。方法选择2010年10月至2011年4月收治的持续性血液透析患者60例,随机分为EBN组35例、常规护理组25例。观察并比较两组患者在透析过程中发生低血压的概率(低血压发生次数/血压测定次数)。结果 EBN组患者在透析过程中低血压的发生率为11.00%(154/1 400),明显低于常规护理组的29.50%(295/1 000),并且在实施EBN干预后,患者的平均动脉压[(96.35±3.25)mmHg,1 mmHg=0.133 kPa]明显较干预前[(60.23±4.12)mmHg]升高,有效减少了低血压的发生次数,差异有统计学意义(P<0.05)。结论 EBN可以有效减少透析过程中低血压的发生次数,使透析能顺利完成,对患者的康复有很大帮助。 Objective To study the application effect of evidence-based nursing(EBN) in the prevention of hemodialysis complicating hypotension.Methods 60 cases of persistent hemodialysis in this hospital from October 2010 to April 2011 were chosen as the research subjects and randomly divided into the EBN group(35 cases) and the routine nursing group(25 cases).The probabilities of hypotension occurrence during dialysis were observed and compared between the two groups.Results The occurrence rate of hypotension during dialysis process in the EBN group was 11.00%(154/1 400),significantly lower than 29.50%(295/1 000) in the routine nursing group.After the implementation of EBN intervention,the mean arterial blood pressure was significantly increased,and the incidence rate of hypotension was effectively reduced,difference showing statistical significance(P0.05).Conclusion EBN can effectively reduce the occurrence of hypotension during dialysis,successfully complete dialysis and is greatly conducive to the rehabilitation of patients.
作者 罗建琼
出处 《现代医药卫生》 2012年第22期3405-3406,共2页 Journal of Modern Medicine & Health
关键词 低血压 病因学 肾透析 副作用 低血压 护理 肾透析 护理 循证医学 Hypotension/etiology Renal dialysis/adverse effects Hypotension/nursing Renal dialysis/nursing Evidence-based medicine
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