家庭透析:没有比家更好的地方
Jeffrey D Wallach1, Juan A Medaura2, Leonard Stern3
1Post-Acute Care Dialysis, New York City Health and Hospitals Corporation New York, New York; Milwaukee Nephrologists, SC, Milwaukee, Wisconsin.
Current opinion in nephrology and hypertension
|December 17, 2024
概括
家庭透析为末期病 (ESKD) 患者提供了好处. 本次审查解决了障碍,并促进了以患者为中心的家庭透析选择,旨在增加其使用.
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
- 患者护理 患者护理
背景情况:
- 末期病 (ESKD) 的患病率急剧上升,伴随着家庭透析使用量的下降和美国中心内透析的增加.
- 越来越多地强调提高ESKD患者获得家庭透析方式的机会.
- 本次审查解决了更新临床数据和指导方针的需要,以支持家庭透析.
研究的目的:
- 更新脏护理提供者关于临床结果和家庭透析的新指南.
- 促进透析方式选择中以患者为中心的选择.
- 识别和解决阻碍家庭透析采用和持续使用的障碍.
主要方法:
- 关于家庭透析的最新文献的审查.
- 检查在家处方透析的不断变化的实践指南.
- 分析患者和护理人员对治疗目标的看法.
主要成果:
- 探索新的护理模式,旨在促进发生ESKD患者的家庭透析.
- 在养老院环境中对辅助家庭透析和家庭透析的评估.
- 评估新型支付结构对家庭透析提供商的激励影响.
结论:
- 赋予透析提供者信心,以倡导家庭透析的好处.
- 提供关于家庭透析未来发展轨迹的见解.
- 将医疗保健专业人员转变为考虑进行家庭透析的患者的公正倡导者.
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