Stevenson Jessica, Meade Anthony, Randall Ann-Maree, Manley Karen, Notaras Stephanie, Heaney Susan, Chan Maria, Smyth Alison, Josland Elizabeth, Brennan Frank Patrick, Brown Mark A
St George Hospital, Kogarah, Australia.
The University of Sydney, Sydney, New South Wales, Australia.
Nephrology (Carlton). 2017 Oct;22(10):739-747. doi: 10.1111/nep.13090.
Renal Supportive Care is an alternative treatment pathway in advanced chronic kidney disease that is being increasingly adopted, particularly in the elderly. Renal Supportive Care uses principles of palliative care and has been developed to enhance the care for dialysis patients with a high symptom burden and those being managed on a non-dialysis pathway. Nutrition management is often an under-recognized component of care and can play an important role in improving patients' quality of life to reduce symptom burden, support physical function and independence and provide appropriate counselling to patients and their families to ensure the goals of Renal Supportive Care are met. Nutrition interventions need to target patient and treatment goals, with frequent monitoring to ensure patient needs are being met. This review outlines available literature on this topic and suggests some practical ways in which nutrition can be enhanced for these patients.
肾脏支持性护理是晚期慢性肾脏病的一种替代治疗途径，目前越来越多地被采用，尤其是在老年人中。肾脏支持性护理采用姑息治疗原则，旨在加强对症状负担较重的透析患者以及接受非透析治疗的患者的护理。营养管理往往是护理中一个未得到充分认识的组成部分，在改善患者生活质量、减轻症状负担、支持身体功能和独立性以及为患者及其家属提供适当咨询以确保实现肾脏支持性护理目标方面可以发挥重要作用。营养干预需要针对患者和治疗目标，并经常进行监测以确保满足患者需求。本综述概述了关于该主题的现有文献，并提出了一些切实可行的方法来加强这些患者的营养护理。
