患者报告的结果措施 (proms) 和移植候选人的脆弱性
Dolores Redondo-Pachón1, Anna Bach-Pascual2, Clara Amat-Fernandez3
1Servicio de Nefrología, Hospital del Mar, Hospital del Mar Research Institute, RICORS 2040-Renal, Barcelona, Spain; Hospital del Mar Nursing School (ESIHMar), Universitat Pompeu Fabra-affilliated, Barcelona, Spain.
Nefrologia
|January 15, 2026
概括
脆弱的移植候选人报告身体功能较差. 实施患者报告结果措施 (PROM) 可以提高这些患者的护理和结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年病的医生 老年病的医生
- 健康 结果 研究 研究 结果
背景情况:
- 患者报告结果测量 (PROM) 对于以患者为中心的护理至关重要,但在慢性病 (CKD) 中未得到充分利用.
- 晚期CKD的老龄化和脆弱人群,特别是移植候选人,需要集中评估.
- 关于虚弱对等待移植的晚期CKD患者生活质量影响的研究有限.
研究的目的:
- 评估脆弱性与自我报告的与健康有关的生活质量之间的关联.
- 通过使用PROMs来评估晚期CKD患者的生命质量,这些患者有资格接受CKT.
- 为了确定受此群体脆弱性影响的特定领域.
主要方法:
- 139名脏移植候选人完成了PROMIS-29®和PROMIS-全球健康®问卷.
- 使用弗里德尺度评估脆弱性 (弗里德>0表示脆弱/脆弱前).
- 除了PROM和脆弱性评估,还收集了社会人口统计和临床数据.
主要成果:
- 在139名KT候选人中,64.5%被归类为脆弱.
- 脆弱的候选人报告身体功能明显恶化 (PROMIS-Global Health®身体领域和PROMIS-29®身体功能).
- 在脆弱和强壮的患者之间没有观察到心理健康领域或其他身体健康方面的显著差异.
结论:
- 脆弱的脏移植候选人表现出PROMs测量的身体功能下降.
- 系统地实施PROM可以指导优化移植等待列表和移植后结果的策略.
- PROMs可以改善预期移植的晚期CKD患者的整体患者护理.
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