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血液透析血管接入的评估涉及多学科整合:拉丁美洲和秘鲁的观点
Edwin Castillo Velarde1,2,3, José A Ruiz-Peñafiel1,2,4, Sheyla Alfaro Ita2,5
1INICIB, Instituto de Investigación de Ciencias Biomédicas, Universidad Ricardo Palma, Lima, Peru.
Frontiers in nephrology
|September 7, 2023
概括
改善末期病患者的血管接入护理需要采用多学科的方法. 在秘鲁,结合血管外科,干预性放射学和科,改善了患者的治疗结果,并减少了中央静脉导管的并发症.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 公共卫生 公共卫生
背景情况:
- 末期病 (ESRD) 的血管接入护理已经转向以患者为中心的多学科模式.
- 在秘鲁等地区,分散的护理和非多学科的重点促使动脉静脉 (AVF) 患病率低,中央静脉导管 (CVC) 使用率高.
- 心血管疾病与严重的并发症有关,包括狭窄,血栓形成,感染和经常性住院治疗.
研究的目的:
- 审查秘鲁血管接入护理的现状,重点关注向多学科护理的过渡.
- 分析结合血管外科,干预性放射学和科的挑战和成功,以改善患者的治疗结果.
- 讨论各种医疗保健系统内的ESRD患者优化血管接入策略的未来方向.
主要方法:
- 这是一篇综述性文章,分析了现有数据和经验.
- 该审查审查了护理的可用性,干预策略和未来前景.
- 它综合了脏病学,血管外科和干预放射学的观点.
主要成果:
- 秘鲁面临着分散护理的挑战,导致高CVC患病率和相关并发症.
- 有越来越多的努力来改善与血管接入有关的专业之间沟通和协作.
- 向多学科方法的转变旨在增加AVF的利用率并减少CVC相关的发病率.
结论:
- 在ESRD中,以患者为中心的多学科方法对于有效的血管接入管理至关重要.
- 加强脏病学,血管外科和干预放射学之间的合作对于克服分散护理至关重要.
- 整合护理途径可以减轻并发症并改善ESRD患者的生活质量,特别是在资源有限的环境中.
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