Ueno Risa, Hatta Tsuguru, Kawasaki Yuka, Hara Masayuki, Otani Mai, Segawa Hiroyoshi, Maki Kei, Sawada Katsunori
Department of Nephrology, Ohmihachiman Community Medical Center, Shiga, Japan.
Nihon Jinzo Gakkai Shi. 2013;55(5):956-65.
We have been conducting a 1-week educational admission program for patients at the conservative phase of chronic kidney disease (CKD) since 2006. In this study we evaluated the effect of the program.
We retrospectively reviewed 469 patients who could be followed for 12 months after a 1-week educational admission program for CKD out of a total of 700 patients who attended the program between October 2006 and April 2012. We compared the rates of decrease in renal function before and after the program. In addition, we divided the patients into two groups of diabetic nephropathy and non-diabetic nephropathy. We compared the rate of decrease in renal function in each group.
The rate of decrease in renal function 12 months after discharge was improved compared with that 6 months before admission. (before: 0.316 mL/min/1.73 m2/month; after: 0.001 mL/min/1.73 m2/month.) The rate of decrease in renal function 6 months before admission of the diabetic nephropathy group was 72.3 times faster than that of the non-diabetic nephropathy group. However, the rate of decrease in renal function 12 months after admission was improved in both groups.
It was revealed that the educational admission program is effective for preserving the renal function on patients at the conservative phase of CKD.
自2006年以来，我们一直在为处于慢性肾脏病（CKD）保守治疗阶段的患者开展为期1周的入院教育项目。在本研究中，我们评估了该项目的效果。
我们回顾性分析了2006年10月至2012年4月期间参加CKD入院教育项目的700例患者中的469例，这些患者在接受为期1周的入院教育项目后能够随访12个月。我们比较了项目前后肾功能下降的速率。此外，我们将患者分为糖尿病肾病组和非糖尿病肾病组，比较了每组肾功能下降的速率。
出院后12个月的肾功能下降速率较入院前6个月有所改善。（入院前：0.316 mL/min/1.73 m²/月；出院后：0.001 mL/min/1.73 m²/月。）糖尿病肾病组入院前6个月的肾功能下降速率比非糖尿病肾病组快72.3倍。然而，两组入院后12个月的肾功能下降速率均有所改善。
结果显示，入院教育项目对保护CKD保守治疗阶段患者的肾功能有效。
