在家庭血液透析中患者培训和患者安全
Jaye M Platnich1, Robert P Pauly
1Division of Nephrology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Clinical journal of the American Society of Nephrology : CJASN
|January 8, 2024
概括
家庭血液透析 (HHD) 的安全性依赖于患者的培训和风险管理. 本综述探讨了HHD安全性,不良事件和培训方法,强调需要更多的研究和标准化协议.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 患者安全 患者安全
- 医疗培训 医学培训
背景情况:
- 家庭血液透析 (HHD) 的成功取决于强大的患者安全框架和风险承受能力.
- 患者或护理伙伴独立执行复杂的透析程序,需要仔细的安全性和降低风险.
- 尽管HHD技术取得了进步,但患者培训仍然是无监督治疗的关键.
研究的目的:
- 审查家庭血液透析患者培训方面的考虑.
- 讨论HHD的安全概况,重点关注严重不良事件.
- 在HHD计划中解决不良事件监测和预防策略.
主要方法:
- 关于家庭血液透析培训和安全的文献综述.
- 分析与HHD中严重和危及生命的不良影响相关的风险.
- 检查监测和预防不良事件的方法.
主要成果:
- 有关HHD安全性和患者培训影响的文献严重缺乏.
- 在HHD课程中,没有关于优化培训计划或方法的建立共识.
- 关于HHD安全性与中心内血液透析的有限比较数据.
结论:
- 标准化的培训协议和进一步的研究对于提高HHD安全性至关重要.
- 有效的监测和预防策略对于减轻无监督透析环境中的风险至关重要.
- 解决所识别的知识差距将改善患者的治疗结果和家庭血液透析程序的有效性.
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