University Health Network, Toronto, Ontario, Canada.
Adv Chronic Kidney Dis. 2013 Jul;20(4):302-10. doi: 10.1053/j.ackd.2013.04.002.
For individuals living with CKD and those who have been discovered to have ESRD, the decisions facing them can be daunting. Such decisions include having renal replacement therapy (RRT) or conservative care, having a kidney transplant, or selecting a modality of dialysis that would fit their lifestyle and values. Education at this critical time is essential, but it must be tailored to the individual and his or her readiness to learn, and it must be provided with empathy and understanding of the chronicity of the disease and the magnitude of the effect of kidney failure on their life. We present strategies derived from education and psychology that can assist health-care practitioners to provide such education and support to individuals with advanced CKD. We also present an approach to educate and support those who have urgently started dialysis and require chronic RRT. This educational model has its basis in theories of education and decision-making and has been used with success in this population.
对于患有 CKD 的个体和已被发现患有 ESRD 的个体，他们面临的决策可能令人望而生畏。这些决策包括进行肾脏替代治疗 (RRT) 或保守治疗、进行肾移植，或选择适合他们生活方式和价值观的透析方式。在这个关键时刻进行教育至关重要，但必须针对个体及其学习准备情况进行定制，并且必须以同理心和对疾病慢性程度以及肾衰竭对其生活影响程度的理解为基础。我们提出了一些源自教育和心理学的策略，可以帮助医疗保健从业者为晚期 CKD 患者提供此类教育和支持。我们还介绍了一种针对紧急开始透析并需要慢性 RRT 的患者的教育和支持方法。这种教育模式基于教育和决策理论，并且已经在该人群中成功使用。
