在SNF中透析生存的因素:对NP的考虑
Daniel R Mead1, Ian P Rios2, Tim Mallers3
1ANNA Membership ID: 1118426613, Chapter: Windy City #305, USA; Associate Professor, MSN-MENP and DNP-AGACNP Programs, Rosalind Franklin University of Medicine and Science, College of Nursing, 3333 N Green Bay Rd, North Chicago, IL 60064, USA; Chief Nurse Practitioner, Certified Nephrology Nurse Practitioner, Shifa Nephrology Associates, 1540 W. Chicago Ave., Chicago, IL 60642, USA.
概括
家庭/每日血液透析和较少的慢性疾病改善了在熟练护理机构的末期病 (ESKD) 患者的生存率. 执业护士在讨论置换疗法 (RRT) 时应该考虑这些因素.
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
- 公共卫生 公共卫生
背景情况:
- 在熟练护理机构 (SNFs) 中,末期病 (ESKD) 和执业护士 (NP) 的患病率越来越高.
- 关于SNF患者最佳透析方式的不确定性.
研究的目的:
- 确定影响透析SNF患者生存的因素.
- 分析透析方式和患者人口统计学对死亡率的影响.
主要方法:
- 对301名SNF患者进行各种透析方式的回顾性队列研究.
- 使用人口统计数据和透析类型的生存分析.
主要成果:
- 家庭/每日血液透析模式与更有利的生存结果有关.
- 黑人/非洲裔美国患者和慢性疾病负担较低的患者也表现出更好的生存率.
- 确定了影响该人口死亡率的重要因素.
结论:
- 执业护士 (NP) 应考虑透析方式,种族和慢性疾病负担,在讨论置换疗法 (RRT) 时,与慢性病 (CKD) 患者进行治疗.
- 研究结果表明,家庭/每日血液透析对SNF居民有潜在的益处.
- 强调需要基于已识别的因素进行个性化的生存讨论.
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