Noble H, Chesser A, Kelly D
Supportive Care, Barts and The London NHS Trust, London, UK.
EDTNA ERCA J. 2005 Oct-Dec;31(4):208-11. doi: 10.1111/j.1755-6686.2005.tb00431.x.
Recently there has been a growing awareness that not all patients with Established Renal Failure will benefit from dialysis treatment, and it has been recognised that this patient population requires an enhanced approach to assessment and control of symptoms, as well as supportive management, including effective and high-quality palliative care. This overview of the literature examines supportive care for the patient with Established Renal Failure and how conscious decision-making in this group of patients can be best facilitated. It highlights recommendations, which have been produced to assist in the decision-making process regarding withholding and withdrawing dialysis, and is a starting point prior to establishing supportive care programmes for the renal population. Patients who decide to abstain from dialysis or for whom such a decision is made should be offered appropriate supportive and palliative care.
最近，人们越来越意识到，并非所有终末期肾衰竭患者都能从透析治疗中获益，而且已经认识到，这一患者群体需要加强对症状的评估和控制方法，以及包括有效和高质量姑息治疗在内的支持性管理。本文献综述探讨了对终末期肾衰竭患者的支持性护理，以及如何最好地促进这组患者的明智决策。它强调了为协助做出关于停止和撤回透析的决策过程而提出的建议，并且是为肾衰竭患者群体建立支持性护理计划之前的一个起点。决定放弃透析或已为其做出这种决定的患者应获得适当的支持性和姑息性护理。
