Abstract
Objective To explore the clinical effect of low-temperature dialysis combined with comfortable nursing intervention model in elderly patients with stage 5 chronic kidney disease (CKD). Methods Sixty elderly patients with stage 5 CKD in our hospital from January 2014 to June 2018 were randomly divided into control group and observation group with 30 patients in each group. The control group was given routine hemodialysis treatment and routine nephropathy care, while the observation group was given low-temperature dialysis (the temperature of dialysate was the basal body temperature minus 0.5℃) combined with comfortable nursing intervention. After 4 weeks of intervention, blood pressure fluctuations (BPV), sleep quality (PSQI), and quality of life (SF-36) were compared between the two groups. Results After the intervention, the BPV fluctuation amplitude of the observation group was significantly stable compared with the control group. There was statistically significant difference in systolic blood pressure coefficient of variation (SBP-CV) between the two groups (t=-8.907 9, P 0.05); there were statistically significant differences in the results of other dimensions (P<0.05). Conclusion The combination of low temperature dialysis combined with comfortable nursing intervention mode can significantly reduce the fluctuation of blood pressure during hemodialysis in elderly patients with stage 5 CKD, and effectively improve the sleep quality and quality of life of patients. Key words: Elderly; Chronic kidney disease (CKD); Hypothermic dialysis; Comfort nursing; Blood pressure fluctuation; Sleep quality; Quality of life
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