家庭透析疗法的患者查和评估:一个范围审查
Ryan Ting1, Megan Borkum2,3, Lian Ting Ni2
1Department of Medicine, University of British Columbia, Vancouver, Canada.
概括
本综述确定了评估家庭透析适用性的工具和因素,强调了需要全面评估和标准化标准的需要. 进一步的研究和教育对于改善家庭透析利用率和患者结果至关重要.
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
- 公共卫生 公共卫生
背景情况:
- 家庭透析提供了患者的独立性和生活质量的好处.
- 在全球范围内,家庭透析疗法的有限普及需要对评估过程进行审查.
研究的目的:
- 确定用于系统查和评估患者适用于家庭透析的工具和指南.
- 探索家庭透析评估过程中的障碍和促进因素.
- 为了确定未来研究的研究差距.
主要方法:
- 发表文献的范围审查.
- 搜索了Embase,Medline (Ovid) 和CINAHL数据库中的数据库.
- 包括23项同行评审研究 (2007-2023) 关于成年人进行家庭透析的查/选择.
主要成果:
- 确定了影响候选人的关键主题:选工具/指南 (8项研究),禁忌 (4项研究),教育 (9项研究) 和社会经济因素 (2项研究).
- 包括的研究包括二次性 (10),观察性 (8),和基于调查的 (5) 研究.
结论:
- 家庭透析评估需要对临床,心理社会和后勤因素进行全面评估.
- 需要进一步的研究来验证工具和标准化查标准.
- 加强医疗保健提供者和患者的教育对于最佳的家庭透析结果至关重要.
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