ผลของการใช้แนวปฏิบัติการพยาบาลในการเตรียมความพร้อมผู้ป่วยโรคไตเรื้อรังระยะสุดท้ายที่ได้รับการฟอกเลือดด้วยเครื่องไตเทียมต่อการเกิดภาวะความดันโลหิตต่ำขณะฟอกเลือด

Phayom  Phaikha; Sirikan Jinawin

Authors

Phayom Phaikha Phare Hospital.
Sirikan Jinawin Boromarajonani College of Nursing, Phrae

Keywords:

Clinical Nursing Practice Guideline, Hemodialysis, End-Stage Renal Disease Patients, Intradialytic Hypotension

Abstract

The objectives of this quasi-experimental research were to study the effect of applying the guideline on hypotension during hemodialysis at Hemodialysis Center 1, Phrase Hospital. The sample was patients with end-stage chronic kidney disease undergoing hemodialysis which were divided into an experimental group of 52 subjects and a control group of 52 using a simple random sampling method. The research instruments were 1) CNPG for preparing patients with end-stage chronic kidney disease undergoing hemodialysis consisted of 3 parts: a) knowledge about hemodialysis; b) preparing the patient for hemodialysis and c) nursing during hemodialysis, and 2) dialysis report form. Data were analyzed by descriptive statistics, Fisher’s exact test and t-test.

The results showed that the experimental group had number of times of hypotension during hemodialysis significantly less than control group (p =.01). The systolic pressure and diastolic pressure were significantly higher than the control group (p < .001). Nurse professionals or healthcare teams should apply this nursing practice guideline for preparing patients who receive hemodialysis.

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