相关实验视频
Updated: Jul 15, 2025

08:50
Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
16.3K
在CKD中心理痛苦和自我管理:一项跨部门研究
Cinderella K Cardol1, Yvette Meuleman2, Henriët van Middendorp1
1Health, Medical and Neuropsychology Unit, Leiden University, Leiden, The Netherlands.
Kidney medicine
|September 27, 2023
概括
心理困扰显著影响慢性病 (CKD) 患者的自我管理. 解决心理健康问题对于改善遵守CKD建议至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 精神病学是一个精神病学.
- 行为科学 行为科学
背景情况:
- 慢性病 (CKD) 的自我管理对许多患者来说都是一个挑战,包括移植接受者.
- 心理困扰,包括抑郁和焦虑症状,可能会阻碍遵守自我管理建议.
研究的目的:
- 调查慢性脏病患者心理困扰与遵守自我管理建议之间的关系.
- 为了确定抑郁和焦虑症状是否与特定的自我管理行为有关.
主要方法:
- 分析了来自E-GOAL研究 (N=460) 的横截面在线问卷数据.
- 参与者患有CKD (eGFR为20-89毫升/分钟/1.73米2).
- 回归分析检查了心理痛苦,抑郁/焦虑症状和自我管理结果 (饮食,体育活动,药物,吸烟,BMI) 之间的关联.
主要成果:
- 27.2%的患者报告有心理困扰;69.8%的患者没有遵守≥1个建议.
- 较高的心理压力与较差的饮食坚持,较少的体力活动和较低的药物坚持相关.
- 增加的心理痛苦与不遵守多个建议的可能性更高有关.
结论:
- 心理困扰是有效的CKD自我管理的重要障碍.
- 需要针对心理困扰的干预措施,以改善CKD患者遵守自我管理建议.
- 医疗保健提供者在支持CKD自我管理时应考虑心理健康状况.
相关概念视频
Chronic Kidney Disease III: Interprofessional Care
28
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...
28
Chronic Kidney Disease IV: Nursing Management
11
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...
11
Chronic Kidney Disease I: Introduction
20
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...
20
Chronic Kidney Disease II: Clinical Manifestations
16
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
16
Nephrotic Syndrome III : Nursing Management
19
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
19
Kidney Transplant III: Nursing Management
23
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...
23

