Ozen Nurten, Cepken Tugba
Florence Nightingale Hospital School of Nursing, Demiroglu Bilim University, Istanbul, Turkey.
Private Esenyurt Dialysis Center, Istanbul, Turkey.
Ir J Med Sci. 2020 Nov;189(4):1471-1476. doi: 10.1007/s11845-020-02249-9. Epub 2020 May 23.
The aim of this study was to evaluate intradialytic hypotension (IDH) prevalence, influencing factors, and nursing interventions in hemodialysis (HD) patients.
This descriptive and cross-sectional study was conducted at a private dialysis center. The patients were followed-up in terms of IDH development based on the European Best Practice Guidelines criteria during six consecutive HD sessions. The study followed the STROBE checklist.
A total of 744 hemodialysis sessions of 124 patients were monitored. IDH developed in 51.6% of the patients and the prevalence was 17.60%. The most common nursing interventions were stopping ultrafiltration and isotonic saline solution administration. White blood cell (WBC) (p = 0.017) and creatinine (p = 0.005) values were statistically significantly higher in patients developing IDH. WBC was found to increase IDH development risk 0.796 times (95% CI [0.657-0.996], p = 0.021).
Nursing staff awareness regarding the frequency of IDH in hemodialysis patients and the related symptoms needs to be increased.
本研究旨在评估血液透析（HD）患者透析中低血压（IDH）的患病率、影响因素及护理干预措施。
本描述性横断面研究在一家私立透析中心进行。根据欧洲最佳实践指南标准，在连续6次HD治疗期间对患者进行IDH发生情况的随访。本研究遵循STROBE清单。
共监测了124例患者的744次血液透析治疗。51.6%的患者发生了IDH，患病率为17.60%。最常见的护理干预措施是停止超滤和给予等渗盐溶液。发生IDH的患者白细胞（WBC）（p = 0.017）和肌酐（p = 0.005）值在统计学上显著更高。发现WBC使IDH发生风险增加0.796倍（95%CI[0.657 - 0.996]，p = 0.021）。
需要提高护理人员对血液透析患者IDH发生频率及相关症状的认识。
