El control de la presión arterial en la consulta de enfermedad renal crónica

Abstract

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 fi rst 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 36 36 Enferm Nefrol 2014: Enero-Marzo; 17 (1): 35/38 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 signifi cant 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.