Exploration of a reasonable dialysate temperature setting in hemodialysis for patients with hypertension

Lin-Fang Xu, Chun-Lei Wu, Hong-Mei Sun, Tong-Qiang Liu
{"title":"Exploration of a reasonable dialysate temperature setting in hemodialysis for patients with hypertension","authors":"Lin-Fang Xu,&nbsp;Chun-Lei Wu,&nbsp;Hong-Mei Sun,&nbsp;Tong-Qiang Liu","doi":"10.1016/j.cnre.2016.06.017","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>This study aims to investigate the effect of 4 different dialysate temperatures on blood pressure during hemodialysis for patients with hypertension.</p></div><div><h3>Methods</h3><p>Using a self-controlled method, the patients' body temperature was set as T. Accordingly, the dialysate temperature was set as 37 °C, T+0.5 °C, T, and T−0.5 °C. The changes in blood pressure, heart rate, mean arterial pressure and dialysis-induced adverse reactions at the 4 different dialysate temperatures were consistently monitored.</p></div><div><h3>Results</h3><p>Patients who received hemodialysis with 37 °C and T+0.5 °C dialysate demonstrated an unstable blood pressure and a higher incidence of adverse reactions. Patients who received hemodialysis with T and T−0.5 °C dialysate showed a relatively stable blood pressure, heart rate, and mean arterial pressure during dialysis. In particular, dialysate at T−0.5 °C resulted in the most stable blood pressure, the fewest adverse reactions and the best self-assessed comfort scores (<em>P</em> &lt; 0.01).</p></div><div><h3>Conclusions</h3><p>The dialysate temperature during hemodialysis for patients with hypertension should be set to a temperature based on patients' preoperative body temperate T or 0.5 °C below T. This practice is suggested to enhance the stability of patients' blood pressure and heart rate during hemodialysis, reduce complications and improve patients' tolerance of hemodialysis.</p></div>","PeriodicalId":57172,"journal":{"name":"Frontiers of Nursing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cnre.2016.06.017","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers of Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2095771816300810","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

Abstract

Objective

This study aims to investigate the effect of 4 different dialysate temperatures on blood pressure during hemodialysis for patients with hypertension.

Methods

Using a self-controlled method, the patients' body temperature was set as T. Accordingly, the dialysate temperature was set as 37 °C, T+0.5 °C, T, and T−0.5 °C. The changes in blood pressure, heart rate, mean arterial pressure and dialysis-induced adverse reactions at the 4 different dialysate temperatures were consistently monitored.

Results

Patients who received hemodialysis with 37 °C and T+0.5 °C dialysate demonstrated an unstable blood pressure and a higher incidence of adverse reactions. Patients who received hemodialysis with T and T−0.5 °C dialysate showed a relatively stable blood pressure, heart rate, and mean arterial pressure during dialysis. In particular, dialysate at T−0.5 °C resulted in the most stable blood pressure, the fewest adverse reactions and the best self-assessed comfort scores (P < 0.01).

Conclusions

The dialysate temperature during hemodialysis for patients with hypertension should be set to a temperature based on patients' preoperative body temperate T or 0.5 °C below T. This practice is suggested to enhance the stability of patients' blood pressure and heart rate during hemodialysis, reduce complications and improve patients' tolerance of hemodialysis.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
高血压患者血液透析合理透析液温度设置探讨
目的探讨4种不同透析温度对高血压患者血液透析过程中血压的影响。方法采用自控法,将患者体温设为T,相应设置透析液温度为37℃、T+0.5℃、T、T - 0.5℃。持续监测4种不同透析液温度下患者血压、心率、平均动脉压及透析不良反应的变化。结果37°C和T+0.5°C透析患者血压不稳定,不良反应发生率较高。使用T和T - 0.5°C透析液进行血液透析的患者在透析期间血压、心率和平均动脉压相对稳定。特别是,在T - 0.5°C的透析液导致最稳定的血压,最少的不良反应和最佳的自我评估舒适评分(P <0.01)。结论高血压患者血液透析时的透析液温度应根据患者术前体温T或低于T 0.5℃设定,可增强血液透析时患者血压和心率的稳定性,减少并发症,提高患者对血液透析的耐受性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
0.00%
发文量
353
期刊最新文献
医院新型冠状病毒感染疑似病例标准化 转运流程的制定及应用 Leadership theory in clinical practice A study on clinical nursing research trends and hotspots based on bibliometric analysis Perceived health-related stigma among patients with breast cancer Cultural barriers lead to inequitable healthcare access for aboriginal Australians and Torres Strait Islanders
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1