Keen Marcia
ANNA, Chumash Chapter, USA.
Nephrol Nurs J. 2009 May-Jun;36(3):303-8.
Data indicate that patient outcomes are significantly affected by factors that can be modified through clinical practices, such as vascular access choice, dialysis dose, interdialytic weight gain, albumin and hemoglobin levels, and mineral and bone disorders. This article reviews recommended treatment guidelines for these factors and the ways patient outcomes are affected when targets are not achieved. Insights on how nursing practices can positively affect these components of care are also provided.
数据表明，患者的治疗结果会受到一些可通过临床实践加以改变的因素的显著影响，比如血管通路的选择、透析剂量、透析间期体重增加、白蛋白和血红蛋白水平，以及矿物质与骨代谢紊乱。本文回顾了针对这些因素的推荐治疗指南，以及未达目标时患者治疗结果所受的影响。同时还提供了关于护理实践如何能对这些护理要素产生积极影响的见解。
