Renal failure · 2025
Effect of intensive water-salt diet nursing intervention on blood pressure and volume load in patients with chronic renal failure.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Wu Liyan, Ma Wanli, Zhang Hui, Yang Ting, Sun Mengxi, Yang Zhen, Guo Xiaohan
Аннотация
BACKGROUND: This study aimed to investigate the impact of a comprehensive nursing intervention targeting high water and salt intake on blood pressure and volume burden in patients with chronic renal failure.
METHOD: From January 2020 to January 2023, 120 patients diagnosed with chronic renal failure were treated at our hospital. Participants were randomly allocated to either a control group (n = 60) receiving standard dietary education or an observation group (n = 60) receiving intensive water-salt diet nursing intervention alongside standard education. Blood pressure, volume load, and related parameters were compared after a 6-month observation period.
RESULT: Both groups exhibited reduced systolic and diastolic blood pressure post-intervention (p < 0.05). The observation group demonstrated a significantly lower extracellular water-to-total body water ratio (ECW/TBW) compared to the control group (p < 0.05). The observation group also showed higher 24-hour urine volume (p < 0.05), hemoglobin levels, creatinine clearance rates (p < 0.05), and treatment compliance (p < 0.05), alongside a lower complication rate (3.33% vs. 13.33%; χ2 = 3.927, p < 0.05). A negative correlation was observed between the Therapeutic Intervention Scoring System (TISS) scale and post-intervention blood pressure/volume load (r = -2.924, -2.184; p < 0.05).
CONCLUSION: Intensive water-salt diet nursing interventions effectively control blood pressure, reduce volume load, and mitigate complications in chronic renal failure patients. This approach should be widely implemented in clinical practice.
METHOD: From January 2020 to January 2023, 120 patients diagnosed with chronic renal failure were treated at our hospital. Participants were randomly allocated to either a control group (n = 60) receiving standard dietary education or an observation group (n = 60) receiving intensive water-salt diet nursing intervention alongside standard education. Blood pressure, volume load, and related parameters were compared after a 6-month observation period.
RESULT: Both groups exhibited reduced systolic and diastolic blood pressure post-intervention (p < 0.05). The observation group demonstrated a significantly lower extracellular water-to-total body water ratio (ECW/TBW) compared to the control group (p < 0.05). The observation group also showed higher 24-hour urine volume (p < 0.05), hemoglobin levels, creatinine clearance rates (p < 0.05), and treatment compliance (p < 0.05), alongside a lower complication rate (3.33% vs. 13.33%; χ2 = 3.927, p < 0.05). A negative correlation was observed between the Therapeutic Intervention Scoring System (TISS) scale and post-intervention blood pressure/volume load (r = -2.924, -2.184; p < 0.05).
CONCLUSION: Intensive water-salt diet nursing interventions effectively control blood pressure, reduce volume load, and mitigate complications in chronic renal failure patients. This approach should be widely implemented in clinical practice.