在实施增量血液透析时的好处和挑战:对患者和提供者的定性研究
Noémie Laurier1, Chloe Wong-Mersereau2, Shaifali Sandal2,3,4
1Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Canadian journal of kidney health and disease
|December 30, 2025
概括
增量血液透析 (iHD) 改善了生活质量,但在过渡和护理协调过程中存在挑战. 解决后勤和教育障碍是最佳iHD交付的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 患者为中心的护理
- 定性研究是一种定性研究.
背景情况:
- 增量血液透析 (iHD) 于2022年为符合条件的患者实施,提供每周两次治疗.
- 这种方法旨在简化过渡到透析,并改善患者的生活质量.
- 有限的数据存在于患者和医疗保健提供者 (HCP) 与iHD的经验.
研究的目的:
- 从患者和医务人员的角度探索iHD的好处和挑战.
- 确定iHD成功实施的实际考虑.
主要方法:
- 进行了一项探索性描述性定性研究.
- 与接受iHD的患者和照顾他们的医疗人员进行了半结构面试.
- 诱导性主题分析用于分析采访数据.
主要成果:
- 与传统血液透析相比,患者报告说,与iHD相比,患者的生活质量更好,因为他们有更多的时间进行日常活动.
- 医疗保健专家承认生活质量的好处,但指出需要加强监测,并确定了护理协调和指导方面的挑战.
- 患者经历过启动透析是创伤性的,有些人抵制模式变化,而医疗保健人员观察到患者在不安全的情况下谈判继续接受透析.
结论:
- iHD为患者提供了显著的生活质量优势.
- 对于患者来说,过渡到iHD可以在情感上具有挑战性,并且观察到对模式变化的抵抗性.
- 需要解决医疗保健人员的后勤问题和教育障碍,以优化iHD交付.
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