延续护理干预应用于高血压肾病患者中的效果观察

谭广霞

（陕西省宝鸡市金台医院血液透析室，陕西 宝鸡，721000）

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摘要：

目的 观察延续护理干预应用于高血压肾病患者中的效果。方法 选取120例我院收治的高血压肾病患者，随机分为对照组和观察组，各60例。观察组行延续护理，对照组实施一般护理。比较两组患者的血压、血清肌酐（Scr）、血尿素氮（BUN）及夜尿次数。结果 观察组血压及夜尿次数控制效果明显优于对照组，差异有统计学意义（P<0.05）。出院6个月后，观察组的SBP、DBP、BUN及Scr水平均明显优于出院前1天，且优于出院6个月后的对照组，对照组的上述指标均升高（P<0.05）。结论 将延续护理干预应用于高血压肾病患者中，不但可有效控制患者血压及肾功能相关指标，而且还可减少并发症的产生，从而提高患者生活质量。

关键词：延续护理；高血压肾病；血清肌酐

中图分类号：R473.74文献标志码：A文章编号：2096-1413(2017)26-0139-02

Effect observation on the extended nursing intervention in patients with hypertensive nephropathy
TAN Guang-xia
(Hemodialysis Unit, Jintai Hospital of Baoji City, Baoji 721000, China)

ABSTRACT: Objective To observe the clinical effect of the extended nursing intervention in patients with hypertensive nephropathy. Methods One hundred and twenty patients with hypertensive nephropathy admitted in our hospital were randomly divided into control group and observation group, with 60 cases in each group. The observation group was given extended nursing, while the control group used the common nursing. The blood pressure, serum creatinine (Scr), blood urea nitrogen (BUN) and nocturia times were compared between the two groups. Results The control effects of blood pressure and nocturia times in the observation group were significantly better than those in the control group (P<0.05). Six months after discharge, the SBP, DBP, BUN and Scr levels in the observation group were significantly better than those at 1 day before discharge, and better than the control group in 6 months after discharge, and those indexes in the control group increased (P<0.05). Conclusion Extended nursing intervention in patients with hypertensive nephropathy not only can effectively control the patients`` blood pressure and renal function related indicators, but also reduce the incidence of complications, thereby improving the quality of life of patients.
KEYWORDS: extended nursing; hypertensive nephropathy; serum creatinine

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