Latos Derrick, Schatell Dori
Nephrology Associates, 500 Medical Park #200, Wheeling, WV 26003, USA.
Adv Ren Replace Ther. 2003 Apr;10(2):146-9. doi: 10.1053/jarr.2003.50018.
Nephrologists have a unique role in assisting patients' adaptation to chronic kidney disease and in preparing them for the complex decisions that are necessary in end-stage renal disease (ESRD). Using a chronic disease model patients with chronic kidney disease (CKD) must learn to accept some responsibility for their care and learn self-management skills such as adhering to treatment plans and accurately reporting symptoms. Nephrologists are well positioned to offer patients realistic hope that can enable them to form positive attitudes regarding their illness. Informed patients who are actively involved in decisions regarding their care will likely be more adherent to medical recommendations, be more satisfied, and have better outcomes.
肾病学家在帮助患者适应慢性肾病以及为他们面对终末期肾病（ESRD）所需的复杂决策做准备方面发挥着独特作用。采用慢性病模式，慢性肾病（CKD）患者必须学会对自身护理承担一定责任，并学习自我管理技能，如坚持治疗方案和准确报告症状。肾病学家能够为患者提供切实可行的希望，使他们对自己的病情形成积极态度。积极参与自身护理决策的明智患者可能会更遵守医疗建议，更满意，并且有更好的治疗结果。
