Headley C M, Wall B
Nephrology Section, Department of Nephrology, Veterans Affairs Medical Center, Memphis, TN, USA.
Nephrol Nurs J. 2000 Apr;27(2):177-84; quiz 185-6.
Newly diagnosed cases of end stage renal disease (ESRD) have increased by 9% each year since 1970. It has been estimated that there will need to be a significant increase in the number of nephrologists to care for the ESRD population by the year 2010. Recent reports have advocated the use of advanced practice nurses (APN) to collaborate with nephrologists to meet increasing patient care demands. Clinical evidence has supported the financial and clinical advantages of APN utilization in nephrology. The renal community has stressed an outcome-based practice with a provision of guidelines to improve morbidity and mortality in ESRD. Reimbursement and mortality have been linked to identification of quality care delivery. APNs can be instrumental in assuring that quality patient care is delivered across the ESRD continuum through several different roles: clinician, educator, consultant, researcher, administrator, and case manager.
自1970年以来，新诊断的终末期肾病（ESRD）病例每年以9%的速度增长。据估计，到2010年，需要大幅增加肾病科医生的数量，以照顾ESRD患者群体。最近的报告主张使用高级执业护士（APN）与肾病科医生合作，以满足日益增长的患者护理需求。临床证据支持了在肾脏病学中使用APN的财务和临床优势。肾脏学界强调以结果为基础的实践，并提供指南以改善ESRD的发病率和死亡率。报销和死亡率与优质护理的识别相关联。APN可以通过几种不同的角色，在确保ESRD连续过程中提供优质患者护理方面发挥重要作用：临床医生、教育工作者、顾问、研究人员、管理人员和病例经理。
