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目的探讨维持性血液透析患者预防高血压脑出血的自我管理。方法选择2010-03—2016-03在某院长期透析并发高血压患者392例。随机分为观察组和对照组各196名,对两组患者分别实施自我管理和常规护理。结果自我管理干预后观察组患者脑出血的发生率明显低于对照组,并发症知晓率上升;血压控制优良率呈上升趋势,血压控制不良率呈下降趋势,患者用药依从性、限盐限量饮食、规律透析、体育锻炼等行为均有所改善;各种并发症发生率减少,用药依从性有所提高,差异有统计学意义(P<0.05)。结论自我管理对预防维持性血液透析并发高血压脑出血患者有重要意义。
Objective To investigate the self-management of hypertensive cerebral hemorrhage in maintenance hemodialysis patients. Methods 2010-03-2016-03 392 cases of long-term dialysis in patients with hypertension in a hospital. Randomly divided into the observation group and the control group of 196, the two groups were implemented self-management and routine care. Results After the self-management intervention, the incidence of cerebral hemorrhage in the observation group was significantly lower than that in the control group, and the rate of complication awareness increased. The rate of fine blood pressure control showed an upward trend and the rate of poor blood pressure control showed a decreasing trend. Patients’ medication compliance, , Regular dialysis, physical exercise and other behaviors have been improved; the incidence of various complications decreased, drug compliance has increased, the difference was statistically significant (P <0.05). Conclusion Self-management plays an important role in preventing hemodialysis patients complicated with hypertensive intracerebral hemorrhage.