血液灌流联合血液透析治疗维持性血液透析伴长期高血压的护理干预

Nursing Intervention of Hemoperfusion Combined with Hemodialysis for Maintenance Hemodialysis with Long-Term Hypertension

摘要: 目的：分析血液灌流联合血液透析治疗维持性血液透析伴长期高血压时应用护理干预的效果。方法：选取2024年8月~2025年7月我院收治的行血液灌流联合血液透析治疗维持性血液透析伴长期高血压的86例患者作为研究对象，根据不同的护理方法将其随机分为对照组(n = 43，接受一般护理)和研究组(n = 43，接受护理干预)。研究结束后使用统计学软件分析两组患者的各项指标。结果：护理1个月后，研究组患者的血压和血清肌酐水平均低于对照组(P < 0.05)；研究组患者CSMS的三项维度得分和总分均高于对照组(P < 0.05)；研究组患者的少尿、水肿、瘙痒和贫血得分均低于对照组(P < 0.05)。结论：血液灌流联合血液透析治疗维持性血液透析伴长期高血压患者时给予护理干预，可有效控制患者的血压和血清肌酐水平，改善临床症状和自我管理行为。

Abstract: Objective: To analyze the effect of nursing intervention in the treatment of maintenance hemodialysis with long-term hypertension using blood perfusion combined with hemodialysis. Method: 86 patients with maintenance hemodialysis and long-term hypertension treated with blood perfusion combined with hemodialysis admitted to our hospital from August 2024 to July 2025 were selected as the study subjects. They were randomly divided into a control group (n = 43, receiving general care) and a study group (n = 43, receiving nursing intervention) according to different nursing methods. After the study, statistical software was used to analyze various indicators of the two groups of patients. Result: After one month of nursing, the blood pressure and serum creatinine levels of the study group patients were lower than those of the control group (P < 0.05); the three dimensions scores and total score of CSMS in the study group were higher than those in the control group (P < 0.05); the scores of oliguria, edema, itching, and anemia in the study group were lower than those in the control group (P < 0.05). Conclusion: Nursing intervention in the treatment of maintenance hemodialysis patients with long-term hypertension using blood perfusion combined with hemodialysis can effectively control the patient’s blood pressure and serum creatinine levels, improve clinical symptoms and self-management behavior.