老年人移植和透析:目标,期望,满意度和遗憾 - 一项混合方法前性队列研究
Tessa S Schoot1,2, Marit G Zuidema3,4, Edward Bok5
1Department of Nephrology, Radboud university medical center, Nijmegen, The Netherlands. tessa.schoot@radboudumc.nl.
BMC nephrology
|July 17, 2025
概括
年龄较大的成年人.
科学领域:
- 老年学是指老年学的学科.
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植医学 移植医学
背景情况:
- 对于老年人功能衰竭治疗的决策是复杂的,需要与以患者为中心的目标和现实的期望保持一致.
- 关于老年患者对移植 (KT) 和透析的具体目标和期望及其实现的数据有限.
- 这项研究解决了有关老年人治疗目标和对KT和透析的期望的知识差距.
研究的目的:
- 确定老年患者 (≥65岁) 对移植 (KT) 和透析的目标和期望.
- 评估这些目标和期望的实现治疗后启动.
- 在这个人口群体中评估治疗满意度和决策后悔.
主要方法:
- 这是一项混合方法,前性队列研究,涉及KT接受者和65岁以上透析患者.
- 在基线收集定性 (采访) 和定量 (问卷) 数据,在启动后的6个月和24个月.
- 采访时使用定量内容分析和问卷时使用非参数测试进行分析,将目标分类为医疗,心理,功能和社会领域.
主要成果:
- 50-60%的患者完全实现了治疗目标;KT接受者的目标实现从6个月后的50%增加到24个月后的90%.
- 患者经常高估了KT和透析的益处,低估了KT和透析的风险,尽管出现了一些意想不到的积极结果 (例如,较少的社会干扰).
- 在KT和透析组中报告了高治疗满意度和低决策遗憾.
结论:
- 确定了适用于KT的老年人 (≥65岁) 的现实治疗目标和预期.
- 结果可以提高患者对功能衰竭治疗的教育.
- 告知共享决策过程,以便在KT和透析之间做出选择.
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