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本文引用的文献

1
A qualitative study on the lived experiences of individuals with end-stage kidney disease (ESKD) accessing haemodialysis in Northern Ghana.加纳北部终末期肾病(ESKD)患者接受血液透析的生活体验定性研究。
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2
KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease.KDIGO 2024慢性肾脏病评估与管理临床实践指南
Kidney Int. 2024 Apr;105(4S):S117-S314. doi: 10.1016/j.kint.2023.10.018.
3
Fifty years of hemodialysis in Ghana-current status, utilization and cost of dialysis services.50 年的加纳血液透析:现状、透析服务的利用和成本。
BMC Health Serv Res. 2023 Oct 27;23(1):1170. doi: 10.1186/s12913-023-10154-x.
4
Factors affecting access to dialysis for patients with end-stage kidney disease in Sub-Saharan Africa: A scoping review.影响撒哈拉以南非洲终末期肾病患者透析机会的因素:范围综述。
Nurs Open. 2023 Oct;10(10):6724-6748. doi: 10.1002/nop2.1970. Epub 2023 Aug 18.
5
A practical guide to reflexivity in qualitative research: AMEE Guide No. 149.质性研究中反思性的实用指南:AMEE指南第149号
Med Teach. 2022 Apr 7:1-11. doi: 10.1080/0142159X.2022.2057287.
6
Lived Experiences of Patients with Chronic Kidney Disease Receiving Hemodialysis in Felege Hiwot Comprehensive Specialized Hospital, Northwest Ethiopia.埃塞俄比亚西北部费莱格希沃特综合专科医院接受血液透析的慢性肾病患者的生活经历
Int J Nephrol. 2021 Aug 25;2021:6637272. doi: 10.1155/2021/6637272. eCollection 2021.
7
Challenges for sustainable end-stage kidney disease care in low-middle-income countries: the problem of the workforce.低收入和中等收入国家可持续的终末期肾病护理面临的挑战:劳动力问题。
Kidney Int Suppl (2011). 2020 Mar;10(1):e49-e54. doi: 10.1016/j.kisu.2019.11.007. Epub 2020 Feb 19.
8
Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.全球、区域和国家慢性肾脏病负担,1990-2017 年:2017 年全球疾病负担研究的系统分析。
Lancet. 2020 Feb 29;395(10225):709-733. doi: 10.1016/S0140-6736(20)30045-3. Epub 2020 Feb 13.
9
Prevalence and predictors of chronic kidney disease among Ghanaian patients with hypertension and diabetes mellitus: A multicenter cross-sectional study.加纳高血压和糖尿病患者慢性肾脏病的患病率及其预测因素:一项多中心横断面研究。
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10
Burden, access, and disparities in kidney disease.肾脏疾病的负担、可及性及差异
Braz J Med Biol Res. 2019 Mar 25;52(3):e8338. doi: 10.1590/1414-431X20198338.

加纳北部肾衰竭患者接受血液透析的认知障碍定性研究:医护人员的观点

A qualitative study on the perceived barriers to accessing haemodialysis for patients with kidney failure (KF) in Northern Ghana: perspectives of healthcare providers.

作者信息

Iddrisu Aduni Amina, Boateng Edward Appiah

机构信息

Community Health Nursing Training College, Navrongo, Ghana.

Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

出版信息

BMC Nephrol. 2025 May 28;26(1):263. doi: 10.1186/s12882-025-04190-4.

DOI:10.1186/s12882-025-04190-4
PMID:40437369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12117837/
Abstract

BACKGROUND

Managing kidney failure (KF) often necessitates dialysis. In Ghana, there are considerable challenges in providing dialysis services due to limited and unevenly distributed resources. This study explored healthcare providers' perspectives on the challenges of caring for patients with KF in northern Ghana.

METHOD

This study was conducted in three major hospitals in northern Ghana. A qualitative research approach was used to explore the experiences of healthcare providers. The participants were selected using purposive sampling, and the interviews were conducted via telephone.

RESULTS

Access to dialysis in northern Ghana faces multiple challenges. These include a shortage of nephrology specialists, limited dialysis centers, the high cost of dialysis, and the geographical location of treatment centers. Additionally, healthcare providers experience emotional and psychological stress due to their inability to deliver adequate care under such constraints.

CONCLUSION

Policy reforms are needed to ensure equitable access to dialysis services across all regions. Recommendations include increasing dialysis centers, expanding the health care workforce, particularly nephrologists and dialysis nurses, and integrating dialysis services into national health insurance coverage. Policymakers should address these gaps, strengthen healthcare delivery, and improve outcomes for patients with kidney failure in northern Ghana.

摘要

背景

管理肾衰竭(KF)通常需要进行透析。在加纳,由于资源有限且分布不均,提供透析服务面临着巨大挑战。本研究探讨了医疗服务提供者对加纳北部照顾肾衰竭患者所面临挑战的看法。

方法

本研究在加纳北部的三家主要医院进行。采用定性研究方法来探究医疗服务提供者的经历。通过目的抽样选择参与者,并通过电话进行访谈。

结果

加纳北部的透析服务面临多重挑战。这些挑战包括肾病专家短缺、透析中心有限、透析费用高昂以及治疗中心的地理位置。此外,由于在这种限制条件下无法提供充分的护理,医疗服务提供者会经历情感和心理压力。

结论

需要进行政策改革,以确保所有地区都能公平获得透析服务。建议包括增加透析中心、扩大医疗保健人员队伍,特别是肾病专家和透析护士,并将透析服务纳入国家医疗保险覆盖范围。政策制定者应解决这些差距,加强医疗服务提供,并改善加纳北部肾衰竭患者的治疗结果。