相关实验视频
Updated: Jun 15, 2025
05:34
5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
Published on: April 4, 2025
526
应对不确定的未来:一项调查研究,调查慢性病患者实际上想知道的是什么
Jet Milders1, Chava L Ramspek2, Yvette Meuleman1
1Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Clinical kidney journal
|August 27, 2024
概括
慢性病患者经常考虑他们的未来,并希望获得更多的预后信息. 许多患者希望与医生讨论他们的预后,但目前没有.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 患者为中心的护理
- 卫生沟通健康沟通
背景情况:
- 预后不确定性是慢性病 (CKD) 患者的一个重大问题.
- 了解患者对预后信息的偏好对于改善护理至关重要.
- 之前的研究还没有充分探索患者对CKD未来前景的愿望.
研究的目的:
- 评估慢性病患者在多大程度上希望了解他们未来的信息.
- 确定CKD患者优先考虑的预后信息的具体主题.
- 探索不同CKD患者小组中这些偏好的变化.
主要方法:
- 在与荷兰病患者协会合作开发和验证了一项调查.
- 该调查包括有关人口统计,未来考虑和预测信息偏好的部分.
- 从163名CKD患者 (所有阶段) 通过患者协会和医疗保健专业人员收集数据,结果按人口,性别和年龄分层.
主要成果:
- 大多数CKD患者 (56.4%) 偶尔或 (35.0%) 经常考虑自己的未来.
- 显著的大多数 (73.6%) 想要更多的预后信息,重点是实验室值,症状和身体健康.
- 近一半 (49.7%) 的人与科医生讨论他们的未来,而19.6%的人希望但目前没有.
结论:
- 慢性病患者积极考虑自己的未来,并寻求详细的预后信息.
- 显著比例的患者希望与医疗保健提供者就他们的未来进行讨论,但没有得到讨论.
- 显然需要个性化预后信息传递,以与临床实践和研究中的患者偏好保持一致.
相关概念视频
01:17Factors Affecting Renal Clearance: Renal Impairment
62
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...
62
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
01:10Nephrons
2.2K
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...
2.2K
01:21Cancer Survival Analysis
334
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
334
01:12Internal Anatomy of the Kidney
1.4K
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...
1.4K