为最近接受脏移植的接受者制定健康生活方式计划
Cheryl A Gibson1, Aditi Gupta2, Abhijit Naik3
1Division of General Medicine, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
概括
移植脏的接受者在手术后往往会增加体重. 一项研究发现,大多数患者希望在线生活方式计划,包括营养和体育活动指导,以有效管理体重.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植医学 移植医学
- 生活方式 医学 医疗
背景情况:
- 接受脏移植的患者在移植后的第一年内经常会显著增加体重.
- 这种体重增加可能会对移植存活率和患者整体健康产生负面影响.
研究的目的:
- 探索最近接受脏移植的接受者对于健康生活方式计划的设计的偏好.
- 确定旨在防止移植后体重增加的计划的关键特征.
主要方法:
- 在两个移植中心对脏移植接受者进行了一项描述性的在线调查.
- 该调查收集了有关人口统计,药物,健康状况,体重变化,饮食,体育活动和所需计划组件的数据.
主要成果:
- 40%的参与者报告说移植后体重增加,许多人与饮食管理扎.
- 身体活动水平在移植后经常下降或保持不变.
- 很高的百分比 (87%) 表示愿意加入在线生活方式计划,76%的人希望每周在线营养和体育活动.
结论:
- 最近接受脏移植的接受者对定制的在线生活方式计划表现出强烈的兴趣,并将从中受益.
- 将患者的意见纳入计划特征,如营养策略和体育活动资源,对于开发有效的干预措施来预防体重增加和促进持续健康行为至关重要.
相关概念视频
Kidney Transplant III: Nursing Management
39
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...
39
Kidney 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
Kidney Transplant II: Surgical Procedure
36
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...
36
Chronic Kidney Disease III: Interprofessional Care
43
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...
43
Chronic Kidney Disease IV: Nursing Management
26
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
26
Chronic Kidney Disease I: Introduction
41
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...
41


