Kollee I, Pearson E
Hotel Dieu Hospital, St. catarines, Ontario.
CANNT J. 2000 Apr-Jun;10(2):26-9.
The goal of our dynamic progressive care unit patient education program was to empower hemodialysis patients to learn to be as independent in their hemodialysis treatments as their condition permitted, whether in the home or in the clinical setting. The paradigm shift that has placed patient education at the centre of health care has necessitated a practice change for both patients and nurses. In response to this change and to assist us to achieve our goal, a set of 14 hemodialysis teaching protocols has been developed. Individual protocols address specific aspects of the management of hemodialysis treatments and implementation, and are based upon the nursing process. Each protocol has an accompanying documentation and evaluation tool and can be used as an indicator for continuous quality improvement. Our success to date is evident in the placement of patients along the continuum of limited self-care starting in the progressive care unit and continuing to achieve increased independence by dialyzing in their own homes as part of the home hemodialysis program.
我们动态渐进性护理单元患者教育项目的目标是使血液透析患者在自身病情允许的情况下，学会在血液透析治疗中尽可能独立，无论是在家中还是在临床环境中。将患者教育置于医疗保健中心位置的范式转变，要求患者和护士都改变做法。为应对这一变化并帮助我们实现目标，已制定了一套14项血液透析教学方案。各方案针对血液透析治疗管理和实施的特定方面，且基于护理程序。每个方案都配有一份文档和评估工具，可用作持续质量改进的指标。我们目前的成功体现在，患者从渐进性护理单元开始，沿着有限自我护理的连续统一体逐步发展，作为家庭血液透析项目的一部分，通过在家中进行透析，不断实现更高程度的独立。
