Javaid Muhammad Masoom, Khan Behram Ali, Yeo Xi Er Emily, Teo Boon Wee, Subramanian Srinivas
Division of Nephrology, University Medicine Cluster, National University Hospital, Singapore
Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Perit Dial Int. 2018 Sep-Oct;38(5):374-376. doi: 10.3747/pdi.2017.00261.
A structured peritoneal dialysis (PD) initiation service provided by a dedicated team of nephrologists, interventionists, and PD nurses, taking patients through the stages of predialysis education and monitoring, dialysis catheter insertion, dialysis initiation, and follow-up in the immediate post-dialysis initiation period, can go a long way in expanding PD prevalence. The authors noticed a rapid expansion of their PD program following the introduction of such a service, and they share their experience in this article. A multidisciplinary team providing 1-stop coordinated care may help in alleviating the differences in patient selection criteria, minimize delays in PD catheter insertions, ensure timely initiation of dialysis, reduce the need to start dialysis urgently, actively identify and sort any teething issues, enhance patients' confidence, and reduce technique failures.
由肾病学家、介入专家和腹膜透析护士组成的专业团队提供的结构化腹膜透析（PD）启动服务，带领患者经历透析前教育与监测、透析导管插入、透析启动以及透析启动后即刻随访等阶段，对于扩大腹膜透析的普及率大有帮助。作者注意到引入此类服务后其腹膜透析项目迅速扩张，并在本文中分享了他们的经验。提供一站式协调护理的多学科团队可能有助于缓解患者选择标准的差异，尽量减少腹膜透析导管插入的延迟，确保及时开始透析，减少紧急开始透析的必要性，积极识别并解决任何初期问题，增强患者信心，并减少技术失败。
