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目的探讨集束化管理对维持性血液透析(MHD)合并高血压患者的影响及效果。方法将160例MHD合并高血压患者分为两组,对照组(80例)接受血液透析治疗和常规宣教,干预组(80例)在接受血液透析治疗和常规宣教基础上,采用集束化管理,比较两组患者6个月后血压变化情况。结果经过6个月的集束化管理,干预组患者透析间期收缩压、舒张压及脉压差低于对照组,差异有统计学意义(P<0.05)。结论在血液透析护理基础上进行集束化管理可以明显改善MHD合并高血压患者的状态。
Objective To explore the effect of cluster management on maintenance hemodialysis (MHD) patients with hypertension. Methods 160 patients with MHD complicated with hypertension were divided into two groups. The control group (80 cases) received hemodialysis treatment and routine education. The intervention group (80 cases) received hemodialysis treatment and routine education based on cluster management, Blood pressure changes were compared between the two groups after 6 months. Results After 6 months of cluster management, the interventricular septum systolic pressure, diastolic pressure and pulse pressure difference were lower in the intervention group than in the control group (P <0.05). Conclusions Cluster management based on hemodialysis nursing can significantly improve the status of patients with MHD complicated with hypertension.