Supportive Care: Integration of Patient-Centered Kidney Care to Manage Symptoms and Geriatric Syndromes
Supportive Care: Integration of Patient-Centered Kidney Care to Manage Symptoms and Geriatric Syndromes
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DOI：
10.2215/cjn.01050116
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发表时间：
2016-10-01
影响因子：
9.8
通讯作者：
Jassal, Sarbjit Vanita
中科院分区：
文献类型：
--
作者：
Davison, Sara N.;Jassal, Sarbjit Vanita
透析护理通常与不良结局相关，包括低生活质量（QOL）。为了改善患者报告的结果，将患者的需求和观点纳入他们接受的医疗护理是必不可少的。本文提供了一个框架，以帮助临床医生整合症状评估和其他措施，如生活质量和虚弱评分的临床方法，以当代支持性治疗晚期CKD患者。该方法包括：（1）定义我们对肾脏支持治疗、以患者为中心的透析和姑息性透析的理解;（2）理解和识别与晚期CKD相关的常见症状;（3）讨论身体功能、虚弱和QOL的概念及其在CKD中的作用;以及（4）识别当以患者为中心的透析被引入临床实践时可能出现的结构和过程障碍。
Dialysis care is often associated with poor outcomes including low quality of life (QOL). To improve patient-reported outcomes, incorporation of the patient's needs and perspective into the medical care they receive is essential. This article provides a framework to help clinicians integrate symptom assessment and other measures such as QOL and frailty scores into a clinical approach to the contemporary supportive care of patients with advanced CKD. This approach involves (1) defining our understanding of kidney supportive care, patient-centered dialysis, and palliative dialysis; (2) understanding and recognizing common symptoms associated with advanced CKD; (3) discussing the concepts of physical function, frailty, and QOL and their role in CKD; and (4) identifying the structural and process barriers that may arise when patient-centered dialysis is being introduced into clinical practice.