不同透析液温度对接受血液透析的患者透析后疲劳的影响:一项准实验性研究
Aizaz Anwar1, Abdul Rehman Arshad1, Muhammad Arif Sadiq1
1Department of Medicine, Pak Emirates Military Hospital, Rawalpindi, Pakistan.
JPMA. The Journal of the Pakistan Medical Association
|October 16, 2024
概括
在维持血液透析期间将透析液温度降低到36°C,与37°C相比,显著减少了透析后疲劳的持续时间和频率. 这一发现提供了一个简单的干预措施,以改善患者的舒适度和治疗后的恢复.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 临床医学 临床医学
- 患者护理 患者护理
背景情况:
- 维护血液透析是对末期脏疾病的维持生命的治疗方法.
- 透析后疲劳是一种常见且令人痛苦的并发症,影响患者的生活质量.
- 透析液温度是血液透析过程中可修改的因素.
研究的目的:
- 调查热 (37°C) 与冷 (36°C) 透析溶液对透析后疲劳持续时间的影响.
- 为了比较在接受维护血液透析的患者中疲劳的发生率和持续时间,在不同的透析温度下进行血液透析.
主要方法:
- 这是一项准实验性研究,涉及92名成年患者,他们接受维护血液透析至少3个月.
- 患者接受了血液透析与36°C透析剂2周,随后是洗期,然后37°C透析剂2周.
- 对透析后的疲劳进行了评估,并对低血压发作进行血压监测.
主要成果:
- 与36°C (72.8%) 相比,更高比例的患者在37°C (81.5%) 报告透析后疲劳.
- 当使用37°C透析剂 (p<0.001) 时,透析后疲劳的持续时间明显长 (p<0.001).
- 在两种透析剂温度 (p=0.445) 之间没有观察到低血压事件的显著差异.
结论:
- 透析液温度为36°C与较少和较短的透析后疲劳有关.
- 使用较冷的透析剂 (36°C) 可能会改善血液透析后的患者舒适性和恢复.
- 透析液温度管理是优化血液透析患者护理的关键考虑因素.
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