Renal rehabilitation and improved patient outcomes in Texas dialysis facilities.
Renal rehabilitation and improved patient outcomes in Texas dialysis facilities.
复制标题
德克萨斯州透析设施的肾脏康复和患者预后的改善。
DOI：
10.1053/ajkd.2002.34517
复制
发表时间：
2002
期刊：
影响因子：
--
通讯作者：
Schatell,Dorian
中科院分区：
文献类型：
--
作者：
Curtin,RobertaBraun;Klag,MichaelJ;Bultman,DaraC;Schatell,Dorian
背景：对于终末期肾病（ESRD）患者来说，治愈并不是一个合理的目标，因此最佳的身心健康功能是护理的首要目标，也是与健康相关的生活质量、发病率和死亡率的主要决定因素。本横断面研究使用设施水平的调查数据来检验透析单位康复活动与较高的患者功能状态相关的假设。方法收集来自德克萨斯州ESRD网络（Network 14） 169个透析设施的数据，包括设施特征、设施级患者人口统计学和临床特征，以及使用生命选择单元自我评估工具（USAT）测量的设施康复活动。通过医疗结果研究36项简短健康调查，从收集数据的所有86家应答机构获得了有关患者功能和福祉的设施级数据。结果大多数参与机构在鼓励、教育、锻炼、就业和评估五类康复活动中均有开展。报告的中位数为可能的100项活动中的32项。运动干预是实施频率最低的活动。线性多元回归显示，USAT测量的设施康复活动得分与较高的设施平均心理成分量表（MCS）得分相关，控制了设施特征（规模、盈利状况）、设施级别患者人口统计学特征（糖尿病、种族、性别、年龄）和设施级别患者实验室变量：尿素还原率、血红蛋白和血清白蛋白水平。由于其他研究显示MCS评分与发病率和死亡率呈负相关，这一发现表明，在透析护理方案中引入康复干预可能是有益的。
BackgroundBecause a cure is not a reasonable goal for patients with end-stage renal disease (ESRD), optimal physical and mental health functioning are primary objectives of care and major determinants of health-related quality of life, morbidity, and mortality. This cross-sectional study used facility-level survey data to test the hypothesis that dialysis unit rehabilitation activities are associated with higher patient functional status.MethodsData were collected from 169 dialysis facilities in the ESRD Network of Texas (Network 14), including facility characteristics, facility-level patient demographic and clinical characteristics, and facility rehabilitation activities measured by the Life Options Unit Self-Assessment Tool (USAT). Facility-level data on patient functioning and well-being measured by the Medical Outcomes Study 36-Item Short-Form Health Survey were obtained from all 86 of the respondent facilities that collected it.ResultsMost participating facilities reported performing rehabilitation activities in all five categories (encouragement, education, exercise, employment, and evaluation). The median number reported was 32 of a possible 100 activities. Exercise interventions were the least often implemented activities. Linear multiple regression showed that facility rehabilitation activity scores measured by the USAT were associated with higher facility mean Mental Component Scale (MCS) scores, controlling for facility characteristics (size, profit status), facility-level patient demographic characteristics (diabetes, race, sex, age), and facility-level patient laboratory variables: urea reduction ratio and hemoglobin and serum albumin levels.ConclusionBecause MCS scores have been shown in other studies to be inversely related to morbidity and mortality, this finding suggests that the introduction of rehabilitation interventions into the dialysis care regimen may prove beneficial.
登录
查看更多内容
DOI：
10.15288/jsa.1981.42.822
发表时间：
1981
期刊：
Journal of studies on alcohol
影响因子：
--
作者：
M. Rodin
通讯作者：
M. Rodin
评论“酗酒者的成瘾”。
影响因子：
--
作者：
R. Moore
通讯作者：
R. Moore
影响因子：
4.8
作者：
J. W. Riley
通讯作者：
J. W. Riley
衡量公众对酗酒者作为病人的接受程度。
影响因子：
--
作者：
H. Mulford;D. E. Miller
通讯作者：
D. E. Miller
DOI：
10.15288/jsa.1982.43.273
发表时间：
1982-01-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
HINGSON, R;MANGIONE, T;SCOTCH, N
通讯作者：
SCOTCH, N