在中国,脏息护理的紧迫性 维持血液透析患者 血液透析患者
Shuo Zhang1, Wenbo Zhu1, Jinghua Xia1
1Department of Nephrology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.
Kidney international reports
|December 18, 2023
概括
中国的脏病专业人员对息性脏护理表现出积极的态度,但缺乏知识和培训. 加强培训和指导方针对于改善维护血液透析患者的护理至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 抚慰性护理是一种缓解性护理.
- 医学教育 医学教育
背景情况:
- 息治疗 (PC) 对接受维持血液透析 (HD) 的患者至关重要.
- 了解中国大陆 nefrology 医务人员PC知识和实践的现状至关重要.
- 需要确定有效PC交付的障碍,以告知干预措施.
研究的目的:
- 评估脏病医务人员在中国大陆对维持性疾病患者的息性脏护理方面的意识,知识,实践技能和感知障碍.
- 识别与自我评估在提供息护理方面的能力相关的因素.
主要方法:
- 在中国大陆的脏病科的医生和护士进行了一项横截面描述性研究.
- 使用方便抽样,并通过问卷收集数据.
- 多变量二元逻辑回归分析确定了用于息护理的自我评估能力的独立预测因素.
主要成果:
- 在657个分析的问卷中,只有4.3%的参与者对为HD患者提供PC充满信心.
- 对PC的平均自我评估能力得分为2.65±1.15 (在1-5级).
- 与更好的自我评估PC能力正相关的因素包括成为一名护士,与已故患者有更多的经验,医疗纠纷较少,以及先前的PC培训.
结论:
- 中国的科医务人员对PC有积极的态度,但在知识和培训方面存在缺陷.
- 迫切需要制度化的教育,标准化的培训模式和脏PC的实践指南.
- 制定文化敏感的指导方针,以便有计划地从透析中退出,也是至关重要的.
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