德尔菲研究基于证据的CKD预防策略护士在资源有限的设置:专注于电子学习实施实施
Fatema Ahmed1, Qingyuan Ye1, Li Li1
1School of Nursing and Rehabilitation, Shandong University, Wenhua Xi Road No.44, Jinan, Shandong Province, 250012, China.
BMC nephrology
|September 27, 2025
概括
这项研究为叙利亚的护士制定了优先级的电子学习策略,以预防和检测慢性病 (CKD). 这些发现强调了文化适应的,成本效益高的工具,用于资源有限的环境.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医学教育 医学教育
- 公共卫生 公共卫生
背景情况:
- 交互式电子学习模块对于教育护士预防和检测慢性病至关重要.
- 这些模块旨在增强护士的知识,查实践,技能和自我管理支持.
- 这项德尔菲研究旨在优先考虑叙利亚CKD预防教育的战略.
研究的目的:
- 确定和优先考虑基于证据的策略,以适应叙利亚环境的CKD预防教育.
- 为资源有限的环境中护士提供电子学习模块的开发和实施提供指导.
- 改善保守性CKD护理的初级和二级预防.
主要方法:
- 进行了第二轮的Delphi研究,涉及15名CKD临床内容专家.
- 专家们根据现有的最佳实践评估和排名了潜在的CKD预防策略和传递方法.
- 使用描述性统计数据 (中位数,IQR,百分比一致) 和推断统计数据 (肯德尔系数,威尔科克森等级和值测试) 来评估共识.
主要成果:
- 为叙利亚和类似资源有限的地区确定了9个主要和32个次要基于证据的CKD预防策略.
- 修改了9个战略,并根据专家对可行性,文化相关性和成本效益的反删除了3个战略.
- 用高风险人群的早期和定期查取代遗传查,承认在专业,组织和外部环境中面临的实施挑战.
结论:
- 德尔菲方法成功地为叙利亚的护士量身定制了电子学习内容,将临床工作与基于证据的策略相结合.
- 制定了可行的策略,以加强在资源有限的环境中加强CKD预防.
- 优先考虑具有成本效益的,文化适应的,离线的,阿拉伯语翻译的模块,以及护士友好的协议,为受冲突影响的地区提供了一个蓝图.
相关概念视频
01:18Chronic Kidney Disease IV: Nursing Management
321
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...
321
01:28Chronic Kidney Disease III: Interprofessional Care
344
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...
344
01:25Chronic Kidney Disease I: Introduction
565
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
565
01:22Acute Kidney Injury VI: Nursing Management
392
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...
392
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
260
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...
260
01:20Acute 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