注意脏护理的差距:将我们所知道的转化为我们所做的
Valerie A Luyckx1, Katherine R Tuttle2, Dina Abdellatif3
1Department of Public and Global Health, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland; Renal Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
Kidney international
|February 20, 2024
概括
弥合病知识与实践之间的差距至关重要. 早期诊断和治疗,尽管存在高血压和糖尿病等风险因素的指导方针,但由于众多障碍,其延迟显著.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
背景情况:
- 在将病治疗从临床证据转化为实践方面存在重大延迟.
- 预防和延缓病的有效干预措施未得到充分利用.
- 脏疾病往往是默默地进展,导致晚期诊断和治疗的开始.
研究的目的:
- 强调急需加快实施基于证据的病治疗方法的关键需要.
- 识别和解决阻碍早期诊断和治疗病的系统障碍.
- 倡导改善初级保健的整合,以预防和治疗病.
主要方法:
- 这项研究是对病护理当前挑战的审查和综合.
- 分析患者,临床医生,卫生系统和社会层面的障碍.
- 强调既定指南与临床实践之间的差距.
主要成果:
- 在病知识与其在日常护理中的应用之间仍然存在很大的差距.
- 常见风险因素 (高血压,糖尿病) 的诊断不足和治疗不足导致病的进展.
- 许多障碍阻碍了早期检测和适当的管理,即使在确诊的患者中.
结论:
- 迫切需要采取行动,缩小病知识与实践之间的差距.
- 解决系统性障碍对于早期诊断和有效治疗至关重要.
- 最大限度地提高早期干预的机会,特别是在初级保健水平,对于改善全球健康至关重要.
相关概念视频
Dialysis
309
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
309
Internal Anatomy of the Kidney
1.7K
The kidneys are essential organs in the human body, performing a myriad of tasks that maintain homeostasis and overall health.
Anatomical Position and Dimensions
The kidneys are retroperitoneal organs positioned against the posterior abdominal wall on either side of the spine, roughly between the twelfth thoracic and third lumbar vertebrae. Each kidney is typically 10-12 cm long, 5-6 cm wide, and 3-4 cm thick, weighing about 150 grams.
Renal Cortex
The outermost region of the kidney is the...
Anatomical Position and Dimensions
The kidneys are retroperitoneal organs positioned against the posterior abdominal wall on either side of the spine, roughly between the twelfth thoracic and third lumbar vertebrae. Each kidney is typically 10-12 cm long, 5-6 cm wide, and 3-4 cm thick, weighing about 150 grams.
Renal Cortex
The outermost region of the kidney is the...
1.7K
Kidney Structure
69.7K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
69.7K
Nephrons
2.4K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.4K


