关于如何在CKD患者护理中进行适当的家族病史的10个建议
Emilie Cornec-Le Gall1,2, Albertien M van Eerde3, Lucile Figueres4,5
1Department de Néphrologie, Hémodialyse et Transplantation Rénale, Centre de référence MARHEA, Filière ORKID, CHRU Brest, Brest, France.
Clinical kidney journal
|October 27, 2025
概括
收集家族病史对于慢性病 (CKD) 患者至关重要. 这篇文章提供了10个实用技巧,帮助临床医生收集这些重要信息进行基因检测和风险咨询.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床遗传学 临床遗传学
- 公共卫生 公共卫生
背景情况:
- 慢性病 (CKD) 经常表现出一种家族模式.
- 有效地收集和记录家族病史给临床带来了挑战.
研究的目的:
- 为临床医生提供关于获得CKD患者家族病史的实际指导.
- 为了提高基因测试的预分层.
- 改善患者及其家属的风险咨询.
主要方法:
- 开发了10个关于家族史收藏的实用技巧.
- 专注于在临床实践中支持临床医生.
主要成果:
- 这篇文章介绍了改善家族史文献的可操作策略.
- 这些提示旨在促进更好的遗传风险评估.
结论:
- 系统的家族史收集对于管理遗传性病至关重要.
- 改善家族史实践可以优化遗传检测和风险沟通.
相关概念视频
Chronic Kidney Disease III: Interprofessional Care
333
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...
333
Chronic Kidney Disease IV: Nursing Management
312
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...
312
Chronic Kidney Disease I: Introduction
556
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...
556
Nursing Assessment of the Genitourinary System I: Health History
372
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
372
Chronic Kidney Disease II: Clinical Manifestations
543
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...
543
Acute Kidney Injury IV: Diagnostic Studies and Prevention
256
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...
256


