Satellite Healthcare, San Jose, CA; Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA.
Satellite Healthcare, San Jose, CA; Clinical & Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
Adv Chronic Kidney Dis. 2021 Mar;28(2):178-183. doi: 10.1053/j.ackd.2021.02.009.
A large proportion of patients undergoing incident dialysis start in-center hemodialysis with suboptimal preparation and predialysis education. Transitional care units deliver a structured program by dedicated staff, with less patient-to-staff ratios than in regular in-center dialysis care, with the goals of supporting the emotional and physical well-being of patients while providing them with education and equipping them with the right tools to start their journey on dialysis. Key components of these programs include an emphasis on patient activation and self-management, educating and supporting patients to make informed modality choices, timely coordination of care, and an integrated approach to formation and use of the dialysis access. While data are still limited on best practices and on outcomes of these programs at a large scale, endorsing the model of transitional care units is a step in the right direction to fill the gap in our current care system.
相当大比例的新开始接受透析治疗的患者在准备不充分和接受透析前教育不足的情况下开始中心血液透析。过渡护理病房由专门的工作人员提供一个结构化的方案，患者与工作人员的比例低于常规中心透析护理，其目标是在为患者提供教育和使他们能够使用正确的工具开始透析之旅的同时，支持他们的身心健康。这些方案的关键组成部分包括强调患者的积极性和自我管理，教育和支持患者做出明智的治疗方式选择，及时协调护理，以及形成和使用透析通路的综合方法。虽然关于这些方案的最佳实践和大规模的结果的数据仍然有限，但支持过渡护理病房的模式是朝着正确方向迈出的一步，可以填补我们当前护理系统中的空白。
