相关实验视频
Updated: Jan 18, 2026

08:50
Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
16.7K
病中的体力活动:证据和实施
Hannah M L Young1,2,3,4, Roseanne E Billany5,6, Matthew P M Graham-Brown5,6
1Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester, UK. hy162@leicester.ac.uk.
Nature reviews. Nephrology
|September 11, 2025
概括
身体活动对慢性病 (CKD) 患者来说是安全和有益的,改善了健康和生活质量. 然而,将运动纳入常规CKD护理中需要以实施为重点的研究和解决更广泛采用的关键障碍.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 对于慢性病 (CKD) 存在体力活动指南,但在全球范围内实施不佳.
- 患有CKD的个体,包括透析和移植接受者,在所有疾病阶段都在很大程度上保持不活跃.
研究的目的:
- 突出在CKD中支持体力活动的证据与其临床实施之间的差距.
- 强调需要以实施为重点的研究和战略,将体育活动纳入常规CKD护理.
主要方法:
- 随机对照试验 (RCT) 对CKD群体运动的综述.
- 讨论在CKD护理中提供体力活动干预的障碍和促进因素.
- 考虑数字健康解决方案和24小时运动行为.
主要成果:
- 随机试验始终表明,结构化炼是安全的,可以改善慢性病患者的身体功能,心肺健康,肌肉力量和生活质量.
- 现有的证据生成往往与服务开发脱节,阻碍了劳动力能力和交付途径.
结论:
- 将体育活动纳入临床护理途径对于改善CKD患者的治疗结果至关重要.
- 解决诸如卫生专业人员培训,患者参与和系统优先级等障碍对于成功实施至关重要.
- 未来的研究应该优先考虑实施科学,以弥合证据与实践的差距.
相关概念视频
Chronic Kidney Disease III: Interprofessional Care
346
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...
346
Acute Kidney Injury IV: Diagnostic Studies and Prevention
271
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
271
Acute Kidney Injury V: Interprofessional Care
297
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
297
Chronic Kidney Disease IV: Nursing Management
322
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...
322
Chronic Kidney Disease II: Clinical Manifestations
559
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
559
Acute Kidney Injury VI: Nursing Management
398
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...
398

