Llewellyn Sarah
Assistant Professor, University of Alaska Anchorage School of Nursing, Anchorage, AK.
member of ANNA's Pacific Northwest Chapter.
Nephrol Nurs J. 2019 May-Jun;46(3):301-328.
Early diagnosis and management of chronic kidney disease (CKD) in primary care settings remains complex. Nephrology nurses have the opportunity to positively impact this care trajectory. The Chronic Care Model has been applied as a means to improve chronic care management. A scoping review was conducted to identify how elements of the Chronic Care Model have been applied to CKD identification and early management in primary care settings. Elements of the Chronic Care Model were applied across studies and quality improvement projects to various degrees. Nurses, especially those with CKD knowledge, were highlighted as integral parts of successful interventions.
在基层医疗环境中，慢性肾脏病（CKD）的早期诊断和管理仍然很复杂。肾脏病护士有机会对这一护理过程产生积极影响。慢性病护理模式已被用作改善慢性病管理的一种手段。本研究进行了一项范围综述，以确定慢性病护理模式的要素是如何应用于基层医疗环境中的CKD识别和早期管理的。慢性病护理模式的要素在各项研究和质量改进项目中得到了不同程度的应用。护士，尤其是那些具备CKD知识的护士，被视为成功干预措施的重要组成部分。
