Analysis of the role of dietary care intervention in hypertensive nephropathy patients undergoing hemodialysis
膳食护理干预在高血压肾病血液透析患者中的作用分析

摘要

目的 探析膳食护理干预应用在高血压肾病血液透析患者中的实际作用。方法 选取2023年1月至2025年12月我院接诊的50例高血压肾病血液透析患者，借助随机数表法划分成常规护理组与膳食护理组且每组各25名病患，常规护理组采取高血压肾病血液透析常规护理干预手段，膳食护理组则在常规护理前提下运用针对性膳食护理干预，对比两组病患血压控制情况以及营养指标水平。结果 干预之后膳食护理组收缩压、舒张压水平均低于常规护理组，血清白蛋白、血红蛋白等营养指标水平高于常规护理组（P＜0.05）；膳食护理组并发症发生率低于常规护理组（P＜0.05）。结论 针对性膳食护理干预能够有效控制高血压肾病血液透析患者的血压水平，改善患者营养状况且降低并发症发生风险，具有较高的临床应用价值。

Abstract

Objective To explore the actual effect of dietary care intervention in patients with hypertensive nephropathy undergoing hemodialysis.
Methods 50 patients with hypertensive nephropathy undergoing hemodialysis who were admitted to our hospital from January 2023 to December 2025 were selected. Using the random number table method, they were divided into the conventional care group and the dietary care group, with 25 patients in each group. The conventional care group adopted the routine care intervention measures for hypertensive nephropathy undergoing hemodialysis, while the dietary care group applied targeted dietary care intervention under the premise of routine care. The blood pressure control situation and nutritional index levels of the two groups of patients were compared.
Results After the intervention, the systolic and diastolic blood pressure levels of the dietary care group were lower than those of the conventional care group, and the nutritional index levels such as serum albumin and hemoglobin were higher than those of the conventional care group (P<0.05); the complication rate of the dietary care group was lower than that of the conventional care group (P<0.05).
Conclusion   Targeted dietary care intervention can effectively control the blood pressure level of patients with hypertensive nephropathy undergoing hemodialysis, improve the nutritional status of patients, and reduce the risk of complications, with high clinical application value.