Neyhart Clara D
University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Nephrol Nurs J. 2002 Jun;29(3):227-40; quiz 241-3.
Progressive renal insufficiency (PRI) is being diagnosed with increasing frequency as the care of patients with renal disease has evolved from acute care and maintenance dialysis to disease prevention and heath promotion. One subset of the population of patients with PRI is comprised of those patients with a failing renal transplant. The patient with PRI and a failing renal transplant presents unique challenges for the nephrology nurse. Declining renal function in the immunocompromised host creates a complex situation that requires careful clinical assessment and specific knowledge to provide appropriate nursing care. As the renal patient population changes and grows, so must the nephrology nurses' knowledge and practice. This article will explain how a failing renal transplant impacts the clinical presentation of PRI and will provide a detailed clinical assessment tool with suggestions for appropriate nursing interventions.
随着肾病患者的护理从急性护理和维持性透析发展到疾病预防和健康促进，进行性肾功能不全（PRI）的诊断频率越来越高。PRI患者群体的一个子集包括肾移植失败的患者。患有PRI和肾移植失败的患者给肾病护士带来了独特的挑战。免疫功能低下宿主的肾功能下降会造成一种复杂的情况，需要仔细的临床评估和专业知识来提供适当的护理。随着肾病患者群体的变化和增长，肾病护士的知识和实践也必须随之改变。本文将解释肾移植失败如何影响PRI的临床表现，并提供一个详细的临床评估工具以及适当护理干预的建议。
