对于患有慢性脏病的人来说,同行支持干预:一个广泛的审查
Meghan J Elliott1, Tyrone G Harrison2, Shannan Love3
1Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary; O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary.
概括
同行支持计划显示慢性病 (CKD) 患者最近的增长,改善了心理健康. 然而,移植和家庭透析患者存在差距,突出了扩大覆盖范围和严格评估的机会.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 慢性病 (CKD) 影响患者的情感和实践.
- 同行支持提供了一个有价值的途径来解决这些需求.
- 在CKD人群中,正式的同行支持干预越来越多地被研究.
研究的目的:
- 系统地识别和总结对患有CKD的个人进行同行支持的干预措施.
- 分析研究的同行支持计划的特点和结果.
- 识别病护理同行支持的差距和机会.
主要方法:
- 电子数据库和灰色文献的系统搜索 (2023年3月).
- 包括任何设计的研究,详细介绍对CKD患者或护理人员的同行支持干预措施和结果.
- 使用既定框架和PRISMA扩展进行范围审查的数据提取;描述和专题综合.
主要成果:
- 77项研究描述了56项独特的同行支持干预措施,主要是2013年后的计划评估或RCT.
- 干预主要集中在中心内血液透析或混合CKD组,集成在脏护理环境中.
- 虽然信息支持是常见的,但专业支持 (例如,移植导航) 是有限的;三分之一的结果显示了心理健康的改善.
结论:
- 对病的同行支持计划正在增长,具有不同的格式和交付方法.
- 在对移植和家庭透析接受者的支持方面存在显著的差距.
- 缺乏严格的评估为增强同行支持在护理中的影响提供了机会.
相关概念视频
01:28Self-Help Support Groups
28
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
28
01:17Factors Affecting Renal Clearance: Renal Impairment
63
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
63
01:29Chronic Pancreatitis II: Collaborative Care
79
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
79
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
01:27Dialysis
278
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...
278
01:11Renal Failure: Dose Adjustments
71
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
71