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2025年台湾共识建议慢性病的初级护理

Yi-Chun Tsai¹, Pei-Yu Wu², Tai-Shuan Lai³

¹Department of Internal Medicine, Kaohsiung Municipal Cijin Hospital, Kaohsiung, Taiwan; School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Center for Metabolic Disorders and Obesity, Kaohsiung Medical University, Kaohsiung, Taiwan; Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.

Journal of the Formosan Medical Association = Taiwan yi zhi

|November 25, 2025

概括

台湾台湾台湾台湾

科学领域:

科和公共卫生
医疗保健管理的管理
临床实践指南临床实践指南

背景情况:

慢性病 (CKD) 在台湾构成了重大公共卫生负担,预计到2027年,会有超过300万受影响的个人.
现有的绩效支付计划还没有完全解决初级保健中早期CKD检测和风险因素管理方面的差距.
需要标准化,实用的策略来加强台湾初级卫生保健机构的CKD护理.

研究的目的:

为台湾的CKD管理制定基于证据的,适合当地情况的建议.
为初级保健提供者和多学科团队建立共识框架.
改善慢性病的早期检测,风险分层和管理.

主要方法:

系统审查国际和本地CKD指南和文献.
多学科专家小组的共识发展 (≥70%的共识共识,≥90%的强烈共识).
专注于适用于台湾的医疗保健系统和前线实践.

主要成果:

十项建议得到了认可,其中九项获得了强有力的共识.
该框架包括基于风险的年龄分层查和诊断,使用估计的淋巴细胞过率 (eGFR) 和白尿.
建议涵盖预防措施,可修改风险因素的管理和患者自我管理策略.

结论:

2025年台湾CKD护理共识为加强初级保健和在CKD管理中的多学科合作提供了重要框架.
实施旨在延迟疾病的进展,减少心脏和脏并发症,改善患者的生活质量.
该共识支持基于证据的,在台湾国家医疗保险系统内为慢性病提供个性化护理途径.

关键词:

慢性脏疾病慢性脏疾病达成共识达成共识多学科的护理服务.主要的护理是初级护理.风险分层是指风险的分层.台湾台湾台湾台湾

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