Nursing care of hypertensive patients with comorbidities and kidney and heart Complications: A multi-case study

Abstract

Purposes : Dieses case-study aims to study nursing needs and compare symptoms, complications, and nursing care for hypertensive patients with co-morbidities. and there were 2 cases of kidney- and heart complications receiving treatment at the high-blood-pressure-clinic, with differences in personal factors. The severity of the disease and the need for nursing.

Materials and Methods : The sample group consisted of hypertensive patients with comorbidities and kidney and heart complications, who received treatment at the hypertensive clinic. Outpatient Nursing Group Roi Et Hospital: 2 cases. During the period October to November 2023, Collect data using Data recording form Interview questions with patients and relatives, supervisors, observational forms, and quantitative data analysis using descriptive statistics and comparing differences with content analysis.

Main findings : when comparing 2 patients with high blood pressure, who had comorbidities and kidney and heart complications, case study number 1, thai male patient, age 74 years, admitted from the kidney clinic with symptoms Tired, tired, swollen left foot 2+, has high blood lipids, gout and complications of stage 4 kidney failure. The patient smokes 20 cigarettes a day for 20 years. Now, she has quit smoking for about 5 years, duean likes oily, salty food and doesn't like to exercise. Case study number 2, a 69-year-old thai male patient with a history of high blood pressure. Coupled with high blood fat, took medicine according to appointments for 3 months, never smoked. Before having pain in the left side of the chest, come see the doctor as per your appointment. The doctor gave me an echocardiogram, an abnormality was found. He was admitted to the hospital for a cardiac catheterization, after the procedure, his symptoms improved and there was no chest pain, the doctor allowed him to go home. From a study of 2 hypertensive patients with comorbidities and kidney- and heart complications was found, that the patients had problems with high blood pressure. High blood sugar and kidney failure Have an understanding and self-care behavior that is inappropriate for the disease, eating, exercise, stress. Als a nurse-care manager in the clinic, we provide continuous health care for patients, following up and changing behavior. Provide nursing home visits to assess knowledge motivate and empower provide social support resources to enable patients and relatives to manage their own care. Prevent more serious complications and improve your quality of life.

Conclusion and recommendations : The results of this research result in patients with high blood pressure. and there were complications, taking medicine and coming for checkups every time.