Leonard M O
J Dial. 1976;1(2):181-208. doi: 10.3109/08860227609039144.
The provision of comprehensive care to patients requiring maintenance hemodialysis has developed into a complex multidisciplinary effort involving nurses at all levels. Nephrology nursing has evolved over 15 years into a model of so-called "expanded practice," i.e., one in which technical expertise and broad scientific and professional education are necessary as well as significant commitment to quality of care. This practice includes unusual responsibility for management of many aspects of patient care. Described in this paper are the specific responsibilities expected of nurses in hemodialysis, including the response to clinical problems during dialysis. Also reviewed are the more independent contributions of nurses to home and self-care dialysis. An outline of recommended educational content for nephrology nurses is included.
为需要维持性血液透析的患者提供全面护理已发展成为一项复杂的多学科工作，涉及各级护士。肾脏病护理在过去15年中已演变成一种所谓的“扩展实践”模式，即一种需要技术专长、广泛的科学和专业教育以及对护理质量的重大承诺的模式。这种实践包括对患者护理多个方面管理的特殊责任。本文描述了血液透析护士应承担的具体职责，包括对透析期间临床问题的应对。还回顾了护士对家庭和自我护理透析的更独立贡献。文中还包括了为肾脏病护士推荐的教育内容大纲。
