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护理学报 ›› 2021, Vol. 28 ›› Issue (10): 11-16.doi: 10.16460/j.issn1008-9969.2021.10.011

• 研究生园地 • 上一篇    下一篇

规律门诊随访对腹膜透析患者高血压控制率及相关疾病转归影响的回顾性分析

刘丹阳1a,2, 艾军1a, 李丹1a,2, 廖生武1b, 朱清瑶1a,2, 龚妮容1a, 张婷婷1a, 张广清1c   

  1. 1.南方医科大学南方医院 a.肾内科; b.门急诊片区党总支; c.院办公室,广东 广州 510515;
    2.南方医科大学 护理学院,广东 广州 510515
  • 收稿日期:2020-10-24 出版日期:2021-05-25 发布日期:2021-06-09
  • 通讯作者: 张广清（1966-）,女,湖南湘潭人,本科学历,硕士研究生导师,主任护师。E-mail:HLBZhang@126.com
  • 作者简介:刘丹阳（1995-）,女,河北保定人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    广东省省级科技计划项目（2020A1414040021）; 南方医科大学护理科研专项（Z2019003）

Effect of Regular Outpatient Follow-up on Hypertension Control and Disease Outcome in Patients Undergoing Peritoneal Dialysis: A Retrospective Cohort Study

LIU Dan-yang1a,2, AI Jun1a, LI Dan1a,2, LIAO Sheng-wu1b, ZHU Qing-yao1a,2, GONG Ni-rong1a, ZHANG Ting-ting1a, ZHANG Guang-qing1c   

  1. 1a. Dept. of Nephrology; 1b. General Party Branch of Outpatient and Emergency; 1c. Administrating Office, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;
    2. School of Nursing, Southern Medical University, Guangzhou 510515, China
  • Received:2020-10-24 Online:2021-05-25 Published:2021-06-09

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摘要： 目的 探究规律门诊随访对腹膜透析患者高血压控制率、高血压相关疾病转归、高血压相关可控因素的影响。方法 纳入2009年1月—2019年12月在本中心置管并随访的腹膜透析患者,查阅病历收集患者基线资料、血压资料和相关疾病的记录;调查研究截止时仍未退出腹膜透析的患者高血压相关可控因素。据随访频率分为规律随访组（≥1次/3月）和非规律随访组（<1次/3月）,比较2组的高血压控制情况。结果 本研究共纳入526例腹膜透析患者,规律门诊随访率为52.3%。规律随访是腹膜透析患者高血压控制的独立影响因素（OR=1.705,95%CI：1.090~2.666,P=0.019）。规律随访与高血压相关疾病转归（退出腹膜透析、心血管疾病、心力衰竭）的发生无影响。规律随访改善了高血压相关可控因素。结论 规律门诊随访是改善腹膜透析患者的高血压控制情况的有效手段,应不断提高随访的质量,鼓励患者定期进行门诊随访。

关键词: 门诊随访, 腹膜透析, 高血压, 回顾性队列研究

Abstract: Objective To explore the influence of regular outpatient follow-up on hypertension control rate, related diseases outcome and related controllable factors in patients with peritoneal dialysis. Methods Patients with peritoneal dialysis receiving catheterization and follow-up from January 2009 to December 2019 were included. According to the follow-up frequency, they were divided into regular follow-up group (≥once per 3 months) and irregular follow-up group (<once per 3 months). A retrospective cohort study was performed to access the general information, blood pressure data and related disease records of patients in the medical records. The related controllable factors of hypertension were investigated in patients who had not withdrawn from the study at the end of the study. Results A total of 526 patients with peritoneal dialysis were included in this study. The regular follow-up rate was 52.3%. Regular outpatient follow-up was an independent influencing factor for hypertension control in patients with peritoneal dialysis (OR=1.705, 95%CI=1.090~2.666,P=0.019) and was not associated with the occurrence of hypertension-related diseases (withdrawal from peritoneal dialysis, cardiovascular disease and heart failure). Regular outpatient follow-up also improved related controllable factors of hypertension. Conclusion Regular outpatient follow-up is an effective approach to improve the control of hypertension in patients with peritoneal dialysis. The quality of follow-up should be improved, and patients are encouraged to make regular outpatient follow-up.

Key words: outpatient follow-up, peritoneal dialysis, hypertension, retrospective cohort study

中图分类号: 

  • R459.5
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