{"title":"Effect of intensive water-salt diet nursing intervention on blood pressure and volume load in patients with chronic renal failure.","authors":"Liyan Wu, Wanli Ma, Hui Zhang, Ting Yang, Mengxi Sun, Zhen Yang, Xiaohan Guo","doi":"10.1080/0886022X.2025.2474854","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the impact of a comprehensive nursing intervention targeting high water and salt intake on blood pressure and volume burden in patients with chronic renal failure.</p><p><strong>Method: </strong>From January 2020 to January 2023, 120 patients diagnosed with chronic renal failure were treated at our hospital. Participants were randomly allocated to either a control group (<i>n</i> = 60) receiving standard dietary education or an observation group (<i>n</i> = 60) receiving intensive water-salt diet nursing intervention alongside standard education. Blood pressure, volume load, and related parameters were compared after a 6-month observation period.</p><p><strong>Result: </strong>Both groups exhibited reduced systolic and diastolic blood pressure post-intervention (<i>p</i> < 0.05). The observation group demonstrated a significantly lower extracellular water-to-total body water ratio (ECW/TBW) compared to the control group (<i>p</i> < 0.05). The observation group also showed higher 24-hour urine volume (<i>p</i> < 0.05), hemoglobin levels, creatinine clearance rates (<i>p</i> < 0.05), and treatment compliance (<i>p</i> < 0.05), alongside a lower complication rate (3.33% vs. 13.33%; χ<sup>2</sup> = 3.927, <i>p</i> < 0.05). A negative correlation was observed between the Therapeutic Intervention Scoring System (TISS) scale and post-intervention blood pressure/volume load (r = -2.924, -2.184; <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Intensive water-salt diet nursing interventions effectively control blood pressure, reduce volume load, and mitigate complications in chronic renal failure patients. This approach should be widely implemented in clinical practice.</p>","PeriodicalId":20839,"journal":{"name":"Renal Failure","volume":"47 1","pages":"2474854"},"PeriodicalIF":3.0000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11899246/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Renal Failure","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/0886022X.2025.2474854","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/11 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
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Abstract
Background: This study aimed to investigate the impact of a comprehensive nursing intervention targeting high water and salt intake on blood pressure and volume burden in patients with chronic renal failure.
Method: From January 2020 to January 2023, 120 patients diagnosed with chronic renal failure were treated at our hospital. Participants were randomly allocated to either a control group (n = 60) receiving standard dietary education or an observation group (n = 60) receiving intensive water-salt diet nursing intervention alongside standard education. Blood pressure, volume load, and related parameters were compared after a 6-month observation period.
Result: Both groups exhibited reduced systolic and diastolic blood pressure post-intervention (p < 0.05). The observation group demonstrated a significantly lower extracellular water-to-total body water ratio (ECW/TBW) compared to the control group (p < 0.05). The observation group also showed higher 24-hour urine volume (p < 0.05), hemoglobin levels, creatinine clearance rates (p < 0.05), and treatment compliance (p < 0.05), alongside a lower complication rate (3.33% vs. 13.33%; χ2 = 3.927, p < 0.05). A negative correlation was observed between the Therapeutic Intervention Scoring System (TISS) scale and post-intervention blood pressure/volume load (r = -2.924, -2.184; p < 0.05).
Conclusion: Intensive water-salt diet nursing interventions effectively control blood pressure, reduce volume load, and mitigate complications in chronic renal failure patients. This approach should be widely implemented in clinical practice.
背景：本研究旨在探讨针对高水盐摄入的综合护理干预对慢性肾衰竭患者血压和容量负担的影响。方法：2020年1月至2023年1月，我院收治慢性肾功能衰竭患者120例。参与者被随机分为对照组（n = 60）和观察组（n = 60），对照组接受标准饮食教育，观察组在接受标准教育的同时接受强化水盐饮食护理干预。观察6个月后比较血压、容积负荷及相关参数。结果：干预后两组患者收缩压、舒张压均明显降低（p p p p p p 2 = 3.927, p p）。结论：强化水盐饮食护理干预可有效控制慢性肾衰竭患者血压，降低容积负荷，减轻并发症。这种方法应广泛应用于临床实践。
期刊介绍：
Renal Failure primarily concentrates on acute renal injury and its consequence, but also addresses advances in the fields of chronic renal failure, hypertension, and renal transplantation. Bringing together both clinical and experimental aspects of renal failure, this publication presents timely, practical information on pathology and pathophysiology of acute renal failure; nephrotoxicity of drugs and other substances; prevention, treatment, and therapy of renal failure; renal failure in association with transplantation, hypertension, and diabetes mellitus.
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