科护理中的新范式
1Nursing, Hospital Dr. Nélio Mendonça, Serviço de Saúde da Região Autónoma da Madeira (SESARAM) Entidade Pública Empresarial Regional Autónoma da Madeira (EPERAM), Funchal, PRT.
Cureus
|May 1, 2025
概括
晚期慢性病 (CKD) 的老年患者可能在透析中受损. 保守治疗和息治疗为脆弱患者提供更好的生活质量和症状管理.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 抚慰性护理是一种缓解性护理.
- 老年医学 老年医学
背景情况:
- 人口老龄化和医疗保健改善增加了老年人数,患有末期慢性病 (CKD) 的脆弱患者.
- 在葡萄牙,透析 (血液透析和腹腔透析) 仍然是晚期CKD的主要治疗方法,即使在脆弱的患者中也是如此.
- 透析在脆弱的患者往往无法改善生活质量或生存,导致痛苦和治疗放弃.
研究的目的:
- 要突出透析在脆弱的,老年CKD患者的局限性.
- 倡导保守治疗和脏病专业化息治疗.
- 引入一种新的护理咨询模式,用于保守治疗和心脏脏综合征 (CRS).
主要方法:
- 对葡萄牙晚期CKD当前治疗模式的审查.
- 分析保守治疗和息护理的好处.
- 实施专业护理咨询,用于保守治疗和CRS.
主要成果:
- 保守治疗提供了没有透析的综合护理,重点是保持功能和控制症状.
- 息治疗,包括对CRS的辅助腹膜超,可以改善患者的福祉和赋权.
- 新的护理咨询为保守治疗和CRS患者提供了个性化的监测.
结论:
- 对于脆弱的CKD患者来说,转向保守治疗和综合息治疗的范式转变至关重要.
- 科护理必须扩大其作用超越技术透析程序,包括保守和息方法.
- 息治疗对于慢性,晚期疾病至关重要,而不仅仅是绝症.
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