维持性血液透析患者血压控制不良的相关因素调查

目的探讨维持性血液透析患者血压控制不良的相关因素，通过对维持性血液透析患者进行调查分析，针对影响因素采取干预措施。方法测量122例维持性血液透析患者血压，对血压控制不良患者进行回顾性分析，并分析可能影响血压控制不良的相关因素。结果维持性血液透析患者高血压病107例，发生率为87．70％，其中血压控制不良者61例，占高血压病患者的57％；经Logistic多因素回归分析，与维持性血液透析患者血压控制不良的相关因素有6个，分别是促红细胞生成素应用量、Kt／V、体重超过干体重的10％、干体重未达标、每周透析次数、是否遵医嘱服药等。结论针对维持性血液透析患者采取合适的干预措施，详细指导患者及家属有效控制血压的方法，使患者获得相关的医疗、护理及自我保健的知识，从而自觉积极地进行治疗和保健。

Investigation of related factors of poorly controlled blood pressure of patient in maintenance hemodialysis

Objective To explore the related factors of poorly controlled blood pressure of patient in maintenance hemodialysis and take intervening measures accordingly. Methods Among 122 cases of patients with maintenance hemodialysis, 107 cases of patients had hypertension, including 61 cases with poorly controlled blood pressure. Those 61 patients were analyzed retrospectively for the related factors. Results Incidence rate of hypertension in patients in maintenance hemodialysis was 87.70%. 57% of the hypertension patients were poorly controlled. Six related factors found by the multi-factor logistic regression analysis are promote erythropoietin application（ 1 U/w） （ P = 0.041 ） ,Kt/V （ P = 0. 006 ） , body weight is more 10% than dry weight （ P = 0. 000 ）, dry body mass did not meet （ P = 0. 006 ） , the number of weekly dialysis （ P = 0. 024 ） , whether prescribed medication（ P = 0. 000）. Conclusions Taking appropriate interventions for patients in maintenance hemodialysis with detailed guidance on patients and family members would effectively control blood pressure and get patients the knowledge of medical, nursing and self-earing, which promotes the active treatment and self-care.