Abstract

CIRERA SEGURA, Francisco; PEREZ BAENA, Álvaro; SANCHEZ FLORES, Nuria  and  MARTIN ESPEJO, Jesús Lucas. Blood pressure monitoring in advanced chronic renal disease nursing controls. Enferm Nefrol [online]. 2014, vol.17, n.1, pp.35-38. ISSN 2255-3517.  https://dx.doi.org/10.4321/S2254-28842014000100006.

Objective: We set out to evaluate the results obtained, after training and nursing interventions carried out to improve blood pressure, in patients with advanced chronic renal disease. Material and Method: A 6-month long retrospective descriptive study was carried out. All patients in the advanced chronic renal disease clinic were studied. Data relating to the advanced chronic renal disease and its evolution were gathered at the first visit, and then after three and six months. Results: The sample was made up of a total of 148 patients, 60.8% of whom were men. The average age was 68.7 ± 14.8 years. We assessed the changes in vital constants related to blood pressure throughout the study, obtaining significant differences for systolic pressure (p<0.001), diastolic pressure (p<0.001) and for mean blood pressure (p<0.001), but not for heart rate (p=0.307). The number of hypotensive medications fell throughout the study without statistical relevance. There was a significant difference in patients' weight from 80.1±16.7 kg to 77.6±16.1 kg at the end of the monitoring (p<0.001). The presence of oedemas varied from 26.1% to 18.8% by the end of the study (p=0.052). We analysed sodium in urine (p=0.665) and observed that there were no significant differences. We did however find significant changes in smoking habits (p=0.004) but not in alcohol consumption (p=0.5). Conclusions: Nursing activities have managed to improve the control of blood pressure in patients attending the advanced chronic renal disease nursing control. These interventions should be a constant in the treatment of hypertensive patients with advanced chronic renal disease.

Keywords : advanced chronic renal disease; blood pressure; acrd clinic.

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