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虚拟护理利用和腹膜炎风险在农村和土著腹膜透析患者

Anurag Singh^1,2,3, Anam Liaqat³, Talal Khalid⁴

¹Regional Kidney Care Program, Northern Health Authority, Prince George, British Columbia, Canada.

Kidney international reports

|January 8, 2026

概括

腹膜透析 (PD) 患者,特别是农村土著社区的患者,在增加虚拟护理的情况下面临更高的腹膜炎风险. 加强信任,培训和文化安全对于改善PD结果至关重要.

科学领域:

腎臟病學 (nephrology) 是一種醫學專業.
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

腹腔透析 (PD) 是对功能衰竭的重要家庭治疗方法,特别是在偏远地区.
信任,连续性和技术技能对于安全的PD护理至关重要.
随着COVID-19的流行,虚拟护理的使用和PD相关的腹膜炎增加了.

研究的目的:

调查虚拟护理,患者人口统计和PD中腹膜炎风险之间的关联.
在虚拟护理环境中探索患者对护理质量和连续性的看法.

主要方法:

具有定性访谈的回顾性队列研究 (2021-2023年).
从省级数据库和患者病历中提取的数据.
腹膜炎发作的根本原因分析 (RCA);多变量逻辑回归和半结构面试.

主要成果:

来自农村土著社区的患者 (70.5%的发作) 的腹膜炎发作显著高 (70.5%的发作).
与土著社区居住相关的腹膜炎风险 (OR:2.45),高度暴露于虚拟护理 (OR:2.85) 和技术失败 (OR:3.12).
定性数据显示,信任度下降,培训不足以及临床分离感.

结论:

高度虚拟护理暴露与腹膜炎风险增加相关,特别是在农村土著PD患者中.
建议调整PD护理模式,以增强信任,实践培训和文化安全.
未来的战略应侧重于文化敏感的,面对面的支持,以减轻腹膜炎风险.

关键词:

土著健康土著健康患者的信任患者的信任腹膜透析是指腹膜透析.膜炎是一种膜炎.虚拟护理是指虚拟的护理.

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