Contemporary Nursing

Objective To analyze the early warning and nursing intervention effects of hypotension events in hemodialysis patients. Methods The study sample consisted of 40 hemodialysis patients and the study period was from January 2024 to December 2024. The grouping work was completed using a random number table method, with 20 cases in each group. Provide routine hemodialysis care to the control group and early warning and targeted care for hypotension to the observation group. Count the incidence of hypotension, record changes in blood pressure before and after dialysis, measure dialysis adequacy indicators, and evaluate nursing satisfaction. Results The incidence of hypotensive events in the observation group was 5.00%, significantly lower than the control groups 30.00%, P＜0.05; The diastolic blood pressure at 1 hour and 2 hours after dialysis in the observation group was (82.39 ± 5.37) mmHg and (75.62 ± 4.38) mmHg, respectively. The systolic blood pressure at 1 hour and 2 hours was (126.34 ± 8.56) mmHg and (120.87 ± 7.63) mmHg, respectively, with smaller fluctuations compared to the control group, P＜0.05; The urea clearance rate Kt/V and β 2-microglobulin clearance rate of the observation group were (1.68 ± 0.12) and (68.54 ± 6.23) ml/min, respectively, which showed significant differences compared with the control group, P＜0.05. Conclusion Early warning and nursing intervention for hypotension events in hemodialysis patients are highly effective and worthy of promotion.

Hemodialysis; Hypotension events; Early warning and nursing