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关于如何管理移民和难民肾脏健康的十条建议。

Ten tips on how to manage kidney health in migrants and refugees.

作者信息

Pawłowicz-Szlarska Ewa, Luyckx Valerie, Sever Mehmet Sukru, Tuglular Serhan, Więcek Andrzej

机构信息

Department of Nephrology, Hypertension, Transplantation and Internal Medicine, Medical University of Lodz, Lodz, Poland.

Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

出版信息

Clin Kidney J. 2025 Apr 30;18(5):sfaf132. doi: 10.1093/ckj/sfaf132. eCollection 2025 May.

Abstract

The number of forcibly displaced people worldwide continues to rise each year due to armed conflicts, human rights violations and natural disasters. Many others migrate in search of better living conditions. People with chronic kidney disease, particularly those requiring kidney replacement therapy, are especially vulnerable during displacement. Preparedness is crucial to minimize risks for these patients. Education and training provided in the pre-disaster period may raise patients' resilience and improve outcomes. Local or national kidney disaster relief task forces could help coordinate evacuation efforts and care for migrant patients, ensuring collaboration among stakeholders. While providing high-quality kidney care is essential, challenges such as healthcare costs, reimbursement issues, and social or cultural barriers may limit access in host countries. It is also critical to address the psychological needs of displaced people. Caring for displaced patients raises ethical concerns, leading to moral distress and burnout among healthcare providers. Collaborative efforts to address these challenges are essential to ensure the best outcomes for both displaced individuals and host countries.

摘要

由于武装冲突、侵犯人权行为和自然灾害,全球被迫流离失所者的数量每年都在持续上升。还有许多人迁移是为了寻找更好的生活条件。患有慢性肾脏病的人,尤其是那些需要肾脏替代治疗的人,在流离失所期间特别脆弱。做好准备对于将这些患者的风险降至最低至关重要。在灾难发生前提供的教育和培训可能会提高患者的适应能力并改善治疗结果。地方或国家肾脏灾难救援特遣部队可以帮助协调疏散工作并照顾移民患者,确保利益相关者之间的合作。虽然提供高质量的肾脏护理至关重要,但医疗费用、报销问题以及社会或文化障碍等挑战可能会限制东道国的医疗服务可及性。解决流离失所者的心理需求也至关重要。照顾流离失所的患者会引发伦理问题,导致医护人员出现道德困扰和职业倦怠。共同努力应对这些挑战对于确保流离失所者和东道国都能取得最佳结果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66a2/12086542/45d8d47624f7/sfaf132fig1.jpg

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