Murphy Fiona, Jenkins Karen, McCann Margaret, Sedgewick John
Trinity College Dublin, Ireland.
J Ren Care. 2008 Dec;34(4):191-8. doi: 10.1111/j.1755-6686.2008.00042.x.
This is the second article in a two part Continuing Education (CE) series on managing patients with Chronic Kidney Disease (CKD). The first CE article addressed the management of patients during CKD stages 1 to 3. This article will focus on the management of patients during CKD stages 4 to 5. Nephrology nurses and other healthcare professionals play an important role in the monitoring and management of the many physical symptoms that patients present with during stages 4 to 5. During these stages the healthcare team must provide psychological support along with educating patients and their families/carers regarding their treatment options including renal replacement therapy, conservative treatment and withdrawal of dialysis.
这是关于慢性肾脏病（CKD）患者管理的继续教育（CE）系列文章的第二篇。第一篇CE文章讨论了CKD 1至3期患者的管理。本文将重点关注CKD 4至5期患者的管理。肾脏病护士和其他医疗保健专业人员在监测和管理4至5期患者出现的多种身体症状方面发挥着重要作用。在这些阶段，医疗团队必须提供心理支持，同时就包括肾脏替代治疗、保守治疗和停止透析在内的治疗选择对患者及其家属/护理人员进行教育。
