可持续的脏护理:围透析途径的生命周期评估
James Larkin1, Giulia Ligabue2, Gaetano Alfano2
1School of Dental, Child and Public Health, Trinity College Dublin, Ireland.
概括
腹腔透析 (PD) 对环境有影响,特别是来自废物和资源使用. 减少一次性塑料和提高能源效率是使这种功能衰竭治疗更可持续的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 环境科学 环境科学
- 生命周期评估 生命周期评估
背景情况:
- 腹腔透析 (PD) 对功能衰竭患者提供了比血液透析 (HD) 更好的优势,包括独立性和灵活性.
- 然而,PD对环境的影响,特别是对资源使用和废弃物的影响,越来越令人担忧.
- 通过可持续性镜头评估PD对于其长期可行性和减少医疗保健的环境足迹至关重要.
研究的目的:
- 进行腹腔透析 (PD) 治疗途径的全面生命周期评估 (LCA).
- 分析与PD相关的环境影响,包括资源消耗和废物产生.
- 确定PD中可持续性干预的关键领域.
主要方法:
- 在特定的意大利医院单位,对PD治疗途径进行了LCA.
- 收集了17个PD程序的电力使用,资源消耗,水使用,旅行和废物处理数据.
- 使用OpenLCA和Ecoinvent数据库分析了环境影响.
主要成果:
- 自动腹透析 (APD) 由于使用电力和PVC,产生的CO2e排放量高于连续门诊腹透析 (CAPD).
- 每月的患者检查,主要来自旅行,对排放有很大贡献.
- CAPD产生了更多的医疗废物,而聚乙烯和PVC等塑料组件是整体排放的主要贡献者.
结论:
- 该LCA强调了PD的重大环境挑战,特别是废物产生和资源使用.
- 减少对一次性塑料的依赖,加强回收利用和实施节能解决方案是关键的改进.
- 该研究为PD的有针对性的可持续性干预提供了基础,与目标保持一致,以优化健康结果并最大限度地减少护理对环境的影响.
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