基于团队的方法来管理动脉静脉接入
Christopher E Holden-Wingate1, Lucinda R Holden-Wingate2, Abraham Hussain3
1University of Illinois College of Medicine, Chicago, IL; Division of Vascular and Endovascular Surgery, Mass General Brigham, Boston, MA.
Seminars in vascular surgery
|December 12, 2025
概括
多学科团队 (MDTs) 可以改善对末期病 (ESKD) 患者的护理,这些患者需要血液透析. 这种方法显示出更好的结果和对动脉静脉 (AV) 接入管理的满意度的承诺.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 血管外科 血管外科
- 医疗保健管理的管理
背景情况:
- 末期病 (ESKD) 的发病率不断上升以及糖尿病和人口老龄化等相关风险因素,需要不断发展的治疗策略.
- 创建和管理血液透析访问需要一个协调的,以团队为基础的方法,以有效的病人护理.
- 关于多学科团队 (MDTs) 对动脉静脉 (AV) 接入结果的影响的研究有限,目前还没有建立标准化的MDT模型.
研究的目的:
- 审查关于AV接入中基于MDT的护理的当前文献.
- 确定特定的临床场景,MDTs对于优化患者护理和结果至关重要.
- 探索在AV访问管理中实施MDT模型的潜在好处.
主要方法:
- 在血液透析接入护理中对多学科团队方法的文献综述.
- 分析了5个具体案例,说明了MDTs的相关性.
- 综合发现,提出好处和需要改进的领域.
主要成果:
- 有证据表明,在AV接入护理中启动MDT模型具有积极的影响.
- 在无导管日内观察到的潜在改善,表明更好的接入寿命和减少并发症.
- 通过MDT方法报告的患者和提供者满意度提高.
结论:
- 一个MDT模型有利于优化ESKD患者的AV接入护理.
- 需要进一步研究和标准化MDT的组成和功能.
- 实施MDT可以改善血液透析接入管理的临床结果和患者体验.
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