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慢性肾脏病患者的教育:基层医疗保健提供者与肾脏病专家的接口。

Education of patients with chronic kidney disease at the interface of primary care providers and nephrologists.

机构信息

Department of Internal Medicine, Division of Nephrology, University of Michigan Health System, Ann Arbor, MI 48109, USA.

出版信息

Adv Chronic Kidney Dis. 2013 Jul;20(4):370-8. doi: 10.1053/j.ackd.2013.03.002.

DOI:10.1053/j.ackd.2013.03.002
PMID:23809290
Abstract

Patient education is promoted as an integral part of effective kidney disease management. Programs and tools are available for providers and patients to support patient CKD education in primary care and nephrology. Challenges to providing patient education across practice settings include patients' lack of awareness of CKD as a medical entity, physician perceptions of their own lack of skill and ability to educate patients, differences in how primary care and nephrology physicians perceive collaborative care, and shortage of staff and time to support educational efforts. In addition, there is little research available to guide evidence-based practices for implementing early patient CKD education interventions across medical disciplines. Development and testing of patient education programs using early CKD multidisciplinary care, educational websites, and phone-based applications are all areas of growing research. More work is needed to provide evidence and support that physicians and other health professionals need to ensure a seamless patient education experience across the continuum of care.

摘要

患者教育被宣传为有效肾脏疾病管理的一个组成部分。有许多方案和工具可供医务人员和患者使用,以支持在初级保健和肾脏病学中开展患者慢性肾脏病教育。在各种医疗环境中开展患者教育的挑战包括患者对慢性肾脏病作为一种医学实体缺乏认识、医务人员认为自己缺乏技能和教育患者的能力、初级保健医生和肾脏病医生对协作式护理的看法存在差异以及缺乏支持教育工作的人员和时间。此外,几乎没有研究可以指导实施多学科早期慢性肾脏病患者教育干预的循证实践。使用早期慢性肾脏病多学科护理、教育网站和基于电话的应用程序开发和测试患者教育方案,这些都是正在不断发展的研究领域。需要做更多的工作来提供证据和支持,以确保医生和其他卫生专业人员需要确保在整个护理连续体中为患者提供无缝的教育体验。

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