透析患者的认知,功能和社会差异:一项多地点调查
Victoria Liou-Johnson1,2,3, Aditya Narayan1,4, Brandon E Johnson4,5
1Clinical Excellence Research Center, Stanford University, Palo Alto, CA, United States.
Frontiers in health services
|February 5, 2026
概括
许多患有末期脏疾病 (ESKD) 的患者面临着未满足的社会,认知和功能需求. 解决这些障碍对于改善脏健康结果和减少护理差异至关重要.
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:
- 末期脏病 (ESKD) 不成比例地影响美国某些人口.
- 标准化的ESKD建议往往忽视了患者独特的挑战和进入障碍.
- 这些障碍阻碍了获得重要的治疗方法,如家庭透析和移植.
研究的目的:
- 检查透析患者中未得到满足的社会,认知和功能需求的普遍性.
- 评估这些障碍的交叉点.
- 为改善所有患者脏健康结果的策略提供信息.
主要方法:
- 美国962名透析患者的横截面调查.
- 分析包括描述性统计,斯皮尔曼相关性,物流回归和奇方位测试.
- 来自多个透析中心的便利样本,年龄在21-95岁之间.
主要成果:
- 45.1%的人报告记忆障碍,19.6%的人需要ADL协助,51.0%的人有运动限制.
- 20.4%的人面临医疗保健获取问题,16.3%的人面临药物获取问题.
- 12.2%的患者遇到了重叠的障碍;未满足的需求在公共/双重保险患者中更高.
结论:
- 对于ESKD透析患者,特别是弱势群体来说,存在着社会,认知和功能障碍的重大交叉.
- 解决多方面的需求需要以人为中心,跨学科的护理模式.
- 政策干预对于减少差异和改善脏健康结果至关重要.
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