从医院直接过渡到家庭透析:彻底改变家庭透析培训
Faith Lynch1,2,3, Naveed Masani4, John Carson5
1Senior Director of Nursing, Dialysis Operations, NYU Langone Health: NYU Langone Hospital-Long Island, Long Island, NY.
概括
紧急启动家庭血液透析 (HHD) 为脏病患者提供了一种新的方式,可以从医院直接在家中开始透析. 这种方法绕过了漫长的中心培训,改善了患者体验和医疗保健效率.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 脏替代疗法治疗 脏替代疗法
- 透析技术 透析技术
背景情况:
- 许多末期病患者在医院开始急性透析.
- 目前的紧急启动腹腔透析计划促进了家庭透析,但紧急启动家庭血液透析 (HHD) 受到复杂的设备和广泛的培训的限制.
- 需要创新策略来改善家庭透析的采用和患者的结果.
研究的目的:
- 探索直接从住院接收到HHD的事件患者转换的可行性.
- 绕过传统的,耗时的中心内血液透析培训.
- 增强患者赋权,治疗经验和医疗保健运营效率.
主要方法:
- 研究了一种新的方法,涉及从入院到HHD的直接过渡.
- 专注于绕过传统的中心内透析培训协议.
- 在东北部的一个大型医院系统中实施.
主要成果:
- 成功地将三名患者从急性医院"崩"开始直接转移到HHD.
- 在现实世界临床环境中证明了这种简化方法的可行性.
- 表明在管理事件透析患者中更广泛采用的潜力.
结论:
- 从住院到HHD的直接过渡是一个可行的和有效的策略.
- 这种方法可以克服与传统的HHD培训相关的障碍.
- 紧急启动HHD为改善患者护理和优化透析治疗提供了一个有希望的替代方案.
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