在家进行持续的腹膜透析培训可以改善患者的赋权:一个单一的中心体验
Sabrina Milan Manani1,2, Grazia Maria Virzì1,2, Niccolò Morisi2,3
1Department of Nephrology, Dialysis and Transplant, San Bortolo Hospital, 36100 Vicenza, Italy.
Journal of clinical medicine
|January 23, 2024
概括
对腹膜透析 (PD) 患者进行的持续家庭培训支持了自主权,并减少了对辅助PD的需求. 这项计划帮助患者保持独立,即使面临挑战,也能留在家中.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 主页 医疗保健 医疗保健
- 患者的自主权患者的自主权
背景情况:
- 腹腔透析 (PD) 提供了比血液透析更大的患者自主权的家庭治疗.
- 然而,PD需要显著的患者责任,这对老年人或脆弱的人来说可能是具有挑战性的.
- 应对这些挑战对于成功的PD管理至关重要.
研究的目的:
- 介绍一个正在进行的在家PD培训计划.
- 评估该计划对患者自主性和临床结果的影响.
- 评估该计划在减少需要辅助PD方面的有效性.
主要方法:
- 在一年 (2019-2022) 时间内对210名PD患者进行了回顾性分析.
- 患者被分为三个自主组:独立,部分辅助和完全辅助 (asPD).
- 追踪PD护士对家庭访问的情况以及患者自主程度的变化.
主要成果:
- 70%的患者是自主,14%是部分,16%完全依赖护理人员.
- 在所有自主群体中,临床结果相似.
- 87%的患者保持了稳定的自主性,7%的情况有所改善,6%的情况有所下降.
结论:
- 家庭护理援助计划赋予PD患者权力,并减少辅助PD的患病率.
- 在家进行的PD培训有助于患者保持自主并留在家中.
- 该计划支持那些面临PD管理态度或社会障碍的患者.
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