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 ( = 60) receiving standard dietary education or an observation group ( = 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 ( < 0.05). The observation group demonstrated a significantly lower extracellular water-to-total body water ratio (ECW/TBW) compared to the control group ( < 0.05). The observation group also showed higher 24-hour urine volume ( < 0.05), hemoglobin levels, creatinine clearance rates ( < 0.05), and treatment compliance ( < 0.05), alongside a lower complication rate (3.33% vs. 13.33%; χ = 3.927, < 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; < 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.
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