儿童功能衰竭后成年人的长期社会和职业结果
Guido F Laube1,2, Marc-Andrea Heinzelmann2,3, Katharina Roser4
1Department of Pediatrics, Hospital Baden, Baden, Switzerland.
Pediatric nephrology (Berlin, Germany)
|June 17, 2023
概括
儿童时期接受置换疗法 (KRT) 的成年人面临更高的社会和职业挑战风险. 这项研究强调了对这些人的认识和心理社会支持的必要性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 社会科学 社会科学 社会科学
- 公共卫生 公共卫生
背景情况:
- 在小儿置换疗法 (KRT) 后,成年人的长期社会和职业结果尚不清楚.
- 儿童时期的功能衰竭会对成年人的生活轨迹产生重大影响.
研究的目的:
- 描述儿童时期经历功能衰竭的成年人的社会和职业结果.
- 将这些结果与瑞士一般人口进行比较.
- 为了确定与这种队列中不良结果相关的因素.
主要方法:
- 从瑞士儿科脏登记处 (SPRR) 给143名在18岁之前开始KRT的个体进行了问卷调查.
- 评估了社会 (伴侣,生活状况,孩子) 和职业 (教育,就业) 的结果.
- 后勤回归模型将结果与代表性的瑞士普通人口样本进行了比较,并确定了相关因素.
主要成果:
- 包括80名参与者 (56%的应答率),平均年龄为39岁.
- 与普通人群相比,参与者更有可能没有伴侣,独自生活,没有孩子和失业.
- 在教育成就方面没有发现显著差异;然而,透析患者更常失业,多次移植患者的教育程度较低.
结论:
- 患有儿科功能衰竭史的成年人面临不良社会和职业结果的风险增加.
- 建议加强医疗保健专业人员的意识,并提供心理社会支持,以减轻这些风险.
- 进一步研究儿科病对成年人的长期影响是有必要的.
相关概念视频
01:29Acute Kidney Injury III: Clinical Manifestations
44
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
44
01:16Kidney Transplant III: Nursing Management
41
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
41
01:28Kidney Transplant I: Introduction
29
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
29
01:28Chronic Kidney Disease III: Interprofessional Care
50
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
50
01:26Kidney Transplant II: Surgical Procedure
37
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
37
01:25Chronic Kidney Disease I: Introduction
43
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage kidney disease (ESKD). At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate...
43