对于接受脏替代疗法的患者,护理诊断和行动领域的干预:一个范围审查
Miguel Angel Cuevas-Budhart1, José Ramón Paniagua Sierra1, Renata Cedillo-Flores2
1Unidad de Investigación Médica en Enfermedades Nefrológicas, CMN S XXI, Mexico.
Nursing open
|August 1, 2025
概括
这次范围审查确定了慢性病患者接受置换疗法的标准化护理诊断和干预措施. 这些发现旨在改善脏病科单位的护理质量,患者安全和专业工作流程.
科学领域:
- 科 护理 护理学
- 基于证据的实践.
背景情况:
- 慢性病 (CKD) 的管理需要专门的护理护理.
- 置换疗法 (RRT) 给患者和医疗保健提供者带来了独特的挑战.
- 标准化的护理方法对于优化科护理至关重要.
研究的目的:
- 识别和分类初级护理诊断和干预措施,用于进行RRT的CKD患者.
- 根据Marjory Gordon的11个功能健康模式来组织这些发现.
- 建立一个标准化框架,用于科护理实践.
主要方法:
- 根据JBI 2020指南和PRISMA ScR扩展,进行了全面的范围审查.
- 在Web of Science,Scopus和PubMed中对2014-2021年间发表的文章进行了搜索.
- 通过使用名义组和Delphi技术实现了专家共识.
主要成果:
- 这项审查包括了9项研究,主要来自巴西.
- 确定了55种护理诊断和76种核心干预措施.
- 研究结果使用Marjory Gordon的功能健康模式进行了分类.
结论:
- 已经建立了一套标准化的护理干预措施,用于RRT的CKD患者.
- 这种分类有助于科单位的组织,减少工作量,提高患者的护理和安全.
- 标准化分类 (NANDA,NIC,NOC) 改善了跨学科的沟通,并促进了先进的护理实践.
相关概念视频
Acute Kidney Injury VI: Nursing Management
61
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
61
Chronic Kidney Disease IV: Nursing Management
59
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
59
Kidney Transplant III: Nursing Management
82
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
82
Continuous Renal Replacement Therapy
146
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
146
Hemodialysis III: Nursing Management
189
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
189
Chronic Kidney Disease III: Interprofessional Care
80
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
80


