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学科主题: 临床医学
题名:
The effectiveness of intensive nursing care on seasonal variation of blood pressure in patients on peritoneal dialysis
作者: Quan, Lei1,2; Dong, Jie1,2; Li, Yanjun1,2; Zuo, Li1,2
关键词: blood pressure ; nurse ; seasonal variation
刊名: JOURNAL OF ADVANCED NURSING
发表日期: 2012-06-01
DOI: 10.1111/j.1365-2648.2011.05833.x
卷: 68, 期:6, 页:1267-1275
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Nursing
研究领域[WOS]: Nursing
关键词[WOS]: CHRONIC KIDNEY-DISEASE ; STAGE RENAL-DISEASE ; MYOCARDIAL-INFARCTION ; HEMODIALYSIS-PATIENTS ; HYPERTENSION ; HOME ; OVERHYDRATION ; MANAGEMENT ; STROKE ; TRIAL
英文摘要:

quan l., dong j., li y. & zuo l. (2012) The effectiveness of intensive nursing care on seasonal variation of blood pressure in patients on peritoneal dialysis. Journal of Advanced Nursing68(6), 1267-1275. Abstract Aim. This article is a report of a study to reduce the seasonal variation of blood pressure in patients on peritoneal dialysis through an intensive programme of nursing care. Background. The seasonal variation of blood pressure is a common phenomenon in patients on maintenance dialysis. Whether or not this variation can be reduced through a given intervention is unknown. Methods. The programme of intensive nursing care including education on volume control, home blood pressure monitoring and intensified antihypertensive treatment, was implemented from December 2006. The blood pressure, fluid and sodium removal and defined daily doses of antihypertensive agents were measured at 1-monthly intervals and averagely quarterly for seasonal values for spring, summer, autumn and winter, respectively, before (December 2005November 2006) and after intervention (December 2006November 2007). Findings. A total of 76 clinically stable patients on peritoneal dialysis were enrolled and finally analysed. The mean age was 60.6 years, and dialysis duration was 23.2 months. Before intervention, there were important seasonal variations in systolic and diastolic blood pressure. After intensive nursing care was implemented, the seasonal variation of systolic blood pressure disappeared. The diastolic blood pressure still represented a season pattern, but the discrepancy between winter and summer decreased. There were no seasonal patterns of total fluid and sodium removal before and after intervention. Conclusions. Intensive nursing care reduced the seasonal variation of blood pressure in patients on peritoneal dialysis. These data provided an evidence for implementing nurse-centred interventions in this population.

语种: 英语
WOS记录号: WOS:000303238600008
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59145
Appears in Collections:北京大学第一临床医学院_大内科_期刊论文

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作者单位: 1.Minist Hlth China, Key Lab Renal Dis, Beijing, Peoples R China
2.Peking Univ, Dept Med, Peking Univ Hosp 1, Inst Nephrol,Renal Div, Beijing 100871, Peoples R China

Recommended Citation:
Quan, Lei,Dong, Jie,Li, Yanjun,et al. The effectiveness of intensive nursing care on seasonal variation of blood pressure in patients on peritoneal dialysis[J]. JOURNAL OF ADVANCED NURSING,2012,68(6):1267-1275.
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