透析中低血压的患病率、影响因素及护理干预：744次血液透析治疗的前瞻性结果

Intradialytic hypotension prevalence, influencing factors, and nursing interventions: prospective results of 744 hemodialysis sessions.

作者信息

Ozen Nurten, Cepken Tugba

机构信息

Florence Nightingale Hospital School of Nursing, Demiroglu Bilim University, Istanbul, Turkey.

Private Esenyurt Dialysis Center, Istanbul, Turkey.

出版信息

Ir J Med Sci. 2020 Nov;189(4):1471-1476. doi: 10.1007/s11845-020-02249-9. Epub 2020 May 23.

DOI:10.1007/s11845-020-02249-9

PMID:32447597

Abstract

INTRODUCTION

The aim of this study was to evaluate intradialytic hypotension (IDH) prevalence, influencing factors, and nursing interventions in hemodialysis (HD) patients.

METHODS

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.

RESULTS

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).

CONCLUSION

Nursing staff awareness regarding the frequency of IDH in hemodialysis patients and the related symptoms needs to be increased.

摘要

引言

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。

方法

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。

结果

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）。