Bennett Paul N, Schatell Dori, Shah Kamal D
Western Health, Deakin University, Melbourne, Victoria, Australia.
Hemodial Int. 2015 Apr;19 Suppl 1:S128-34. doi: 10.1111/hdi.12258.
Psychosocial aspects related to home hemodialysis (HD) play an important role in the success of home HD programs. Once patients commence HD at home, unique psychosocial issues related to patient and care partner burden can emerge. Proactive professional support, peer support, respite care, travel support, and financial support from the home HD health care team must be a priority for patient care. If the psychosocial aspects are not proactively addressed, patients receiving HD at home may return to in-center HD and the program may struggle as a result. This review provides a psychosocial guide for new start-up home HD programs.
与家庭血液透析（HD）相关的社会心理因素在家庭HD项目的成功实施中起着重要作用。一旦患者开始在家中进行HD，与患者及护理伙伴负担相关的独特社会心理问题就可能出现。家庭HD医疗团队提供的积极专业支持、同伴支持、临时护理、出行支持和经济支持必须成为患者护理的优先事项。如果不积极解决社会心理方面的问题，在家接受HD治疗的患者可能会转回中心HD，该项目可能会因此陷入困境。本综述为新启动的家庭HD项目提供了一份社会心理指南。
