CKD-CHECK工具包改善医生在治疗慢性病快速进展的实践:一项在初级保健环境中的试点研究
W S Ang1, T R Jamil2, R Kamaludin3
1Universiti Kebangsaan Malaysia, Faculty of Medicine, Department of Family Medicine, Malaysia.
The Medical journal of Malaysia
|November 30, 2023
概括
CKD-CHECK工具集有效地帮助初级保健医生识别快速进展慢性病 (CKD) 的患者. 这套工具提升了及时转诊科医生率,提高了对慢性病进展的患者护理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 主要护理医学 医疗保健
- 医疗信息学 医疗信息学
背景情况:
- 慢性病 (CKD) 的快速进展显著增加了末期病和死亡率的风险.
- 目前对CKD快速进展的监测和认知不足,尽管干预措施显示了潜在的益处.
- CKD-CHECK工具包是为了解决初级保健中的这些差距而开发的.
研究的目的:
- 评估CKD-CHECK工具包在初级保健环境中的可接受性和可行性.
- 评估CKD-CHECK工具包对快速进展的CKD的医生主导测试和科转诊的初步影响.
主要方法:
- 采用了前后研究设计,在管理慢性病患者的医务人员中试点使用CKD-CHECK工具包 (eGFR<60ml/min/1.73m2).
- 该工具包可视显示eGFR趋势,识别快速进步者,并指导进一步的测试和转诊决策.
- 使用AIM和FIM问卷测量了可行性和可接受性;临床数据和转诊率被追溯收集.
主要成果:
- 医务人员报告说,CKD-CHECK工具包在初级保健中具有很高的可接受性和可行性.
- 虽然蛋白尿和脏成像的进一步测试率保持相似,但CKD-CHECK工具包显著增加了快速进展的CKD的脏病转诊率 (p=0.016).
- 该研究包括60名由25名医务人员管理的CKD患者,患者平均年龄为72岁.
结论:
- CKD-CHECK工具包是初级保健机构的可行和受欢迎的工具.
- 初步结果表明,CKD-CHECK工具集可以提高初级保健医生的转诊实践,帮助急剧进展的CKD患者.
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