Barahimi Hamid, Abolhassani Farid, Rajaee Farahnaz, Akbari Sari Ali
Tehran University of Medical Sciences, Tehran, Iran.
Iran J Kidney Dis. 2015 May;9(3):186-92.
Chronic kidney disease (CKD) is a general health problem with high rates of mortality and morbidity. The increasing prevalence of CKD has led to the recognition of the fact that it needs special care. One approach to CKD management is to present a model of care for the disease. A model of care for CKD was developed by drawing on the literature, including guidelines for CKD care, and by using previous experiences in providing care for patients with diabetes mellitus and CKD. The model focuses on training, identification of patients, care, follow-up, and evaluation of patients. In this study, two levels were defined for providing care to patients with CKD. The first level involves care provided by family physicians, while the second level was defined as community health services for CKD. Establishment of at least 1 CKD community health service at each capital city of any province seems to be an effective factor in improving services provided to patients with CKD.
慢性肾脏病（CKD）是一个具有高死亡率和发病率的普遍健康问题。CKD患病率的不断上升已促使人们认识到它需要特殊护理这一事实。CKD管理的一种方法是提出针对该疾病的护理模式。通过借鉴文献，包括CKD护理指南，并利用以往为糖尿病和CKD患者提供护理的经验，开发了一种CKD护理模式。该模式侧重于培训、患者识别、护理、随访以及患者评估。在本研究中，为CKD患者提供护理定义了两个级别。第一级涉及家庭医生提供的护理，而第二级被定义为CKD社区卫生服务。在任何省份的每个省会城市至少建立1个CKD社区卫生服务机构似乎是改善为CKD患者提供的服务的一个有效因素。
