探索健康素养和血管接入决策:一个范围审查
Shayna Brathwaite1,2, Olamide Alabi1,3,4, Lynne Simpson5
1Surgical and Perioperative Care, Atlanta VA Healthcare System, Decatur, GA 30033, USA.
Journal of clinical medicine
|July 13, 2024
概括
许多慢性病 (CKD) 患者缺乏血管接入知识,影响治疗选择. 提高健康素养对于改善慢性病患者血液透析获取结果至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 患者教育 患者教育
背景情况:
- 慢性病 (CKD) 影响美国7名成年人中有1人,末期病 (ESKD) 往往需要血液透析.
- 指南建议进行动脉静脉通道透析,但大多数患者首先使用中央静脉导管 (CVC).
- 有限的健康素养 (25%的CKD患者) 和不良的疾病特异性知识可能会导致这种证据与实践的差距.
研究的目的:
- 审查健康素养,病特定知识和慢性病患者的血管接入之间的关系.
- 突出关于健康素养对血管接入知识和结果的影响数据的不足.
- 为评估患者知识和改善血管接入决策的策略提供信息.
主要方法:
- 现有文献的叙述性审查.
- 分析健康素养,疾病知识和血管接入选择之间的相互作用.
- 确定患者对血管接入选项的理解方面的研究缺口.
主要成果:
- 关于健康素养和CKD结果有大量的研究,但关于其与血管访问知识的联系的研究较少.
- 健康素养和特定知识缺陷可能会影响血液透析接入的选择.
- 了解这些因素对于以患者为中心的护理至关重要.
结论:
- 健康素养是CKD血管接入决策的关键,未被充分研究的因素.
- 需要进一步的研究来探索健康素养对血管接入结果的影响.
- 制定有针对性的教育策略可以改善患者对血液透析的理解和选择.
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