为加拿大各地的实体器官移植候选人和接受者提供成人康复计划的特征
Sahar Sohrabipour1,2, Nicholas Bourgeois3,4, Sunita Mathur5
1Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Frontiers in rehabilitation sciences
|December 15, 2025
概括
加拿大固体器官移植 (SOT) 康复计划越来越多地使用COVID-19后的混合模型. 主要障碍包括有限的资金和人员,强调需要优化SOT康复策略.
科学领域:
- 移植医学 移植医学 移植医学
- 康复科学 康复科学 康复科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 固体器官移植 (SOT) 康复对于患者的康复和长期结果至关重要.
- 传统的面对面计划面临挑战,促使对交付模式进行重新评估,特别是在COVID-19后.
- 关于加拿大SOT康复的当前做法和挑战,存在知识差距.
研究的目的:
- 描述加拿大成年SOT康复项目.
- 确定当前的做法,包括行使,监督和结果措施.
- 确定影响SOT康复服务供应的促进者和障碍.
主要方法:
- 电子调查在2024年4月分发给了17个加拿大SOT康复计划.
- 该调查收集了使用REDCap.的程序特征,交付模型,安全和障碍的数据.
- 用描述性统计数据来总结调查结果.
主要成果:
- 从10个SOT康复计划中获得了59%的响应率.
- 在COVID-19后,60%的课程采用了混合交付模式 (面对面和虚拟).
- 评估和平台存在显著的异质性;资金和人员是主要障碍.
结论:
- 这项研究揭示了加拿大SOT康复计划不断变化的格局.
- 混合型号显示出增强患者获得SOT康复的希望.
- 结果可以为未来的研究提供信息,旨在优化SOT康复计划和结果.
相关概念视频
Kidney Transplant I: Introduction
307
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
307
Kidney Transplant III: Nursing Management
289
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
289
Kidney Transplant II: Surgical Procedure
279
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
279
Tissue Transplantation
864
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
864
Bone Marrow Sampling and Transplants
816
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
816
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy
163
Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
163


