在COVID-19大流行期间透析患者的体验:一项调查研究
Elyssa M Noce1, Laura Brereton2, Mary Zorzanello3
1Department of Internal Medicine, Section of Nephrology, Yale-New Haven Hospital, New Haven, Connecticut.
Kidney medicine
|June 12, 2023
概括
大多数透析患者觉得他们的护理在COVID-19大流行期间保持一致,尽管外部生活影响影响了他们的健康. 弱势群体,包括非白人患者和患有精神疾病的患者,面临更大的挑战.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 患者体验 患者体验
背景情况:
- 随着COVID-19大流行,对需要透析的功能衰竭患者的医疗保健服务发生了重大变化.
- 了解患者在疫情期间对护理连续性和健康影响的看法至关重要.
研究的目的:
- 探索COVID-19大流行期间接受透析的个体的患者护理经验和感知到的健康变化.
- 在公共卫生危机期间识别影响患者体验和潜在脆弱性的因素.
主要方法:
- 用利克尔特尺度和开放式问题进行口头调查,对172名成年透析患者进行.
- 多选项答案的定量描述统计和定性数据的专题分析.
主要成果:
- 大多数患者报告了稳定的透析护理体验,以及与护理团队联系的感觉.
- 在生活的非透析方面 (运输,药物,杂货) 发现了显著的影响,影响了心理和身体健康.
- 关键主题包括评估护理的一致性,可靠性,个人员工联系以及外部社会支持的重要性.
结论:
- 在大流行初期,大多数患者对透析护理的看法基本没有变化.
- 外部生活中断显著影响了患者的福祉,突出了全面支持的需要.
- 易受伤害的子群体,包括非白人患者,精神疾病患者和中心血液透析患者,可能需要针对性的干预措施.
相关概念视频
Dialysis
390
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
390
Hemodialysis III: Nursing Management
50
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
50
Peritoneal Dialysis III: Nursing Management
55
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
55
Hemodialysis II: Procedure and Complications
42
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
42
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
46
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
46
Hemodialysis I: Introduction
69
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
69


