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[慢性血液透析患者依从性改善的可能性与局限性]

[Possibilities and limits of compliance modification in chronic hemodialysis patients].

作者信息

Kron J, Ohme W D

出版信息

Z Urol Nephrol. 1982 Sep;75(9):663-7.

PMID:6818791
Abstract

After the introduction of a number of measures concerning care of patients and changes in the therapy regimen (systematic preparation for dialysis treatment, intensive supply of information and active involvement of the patients in their treatment, nursing, rearrangement of the dialysis rooms, carrying out of dialysis in an armchair etc.) dietary errors in the form of excessive weight increase between dialyses have been observed significantly less often. Parallel to this, the frequency of hypertonia has been reduced. the aim of therapy is to arouse in the patient a consciously responsible and active attitude to his treatment. By reducing inconveniences in treatment and in the social environment, it is possible to make chronic haemodialysis patients more cooperative and make it easier for them to get used to the new way of life. The limiting factor for the improvement of compliance is however the patient's personality.

摘要

在采取了一系列有关患者护理的措施以及治疗方案的改变(透析治疗的系统准备、密集的信息提供以及患者积极参与治疗、护理、透析室的重新布置、在扶手椅上进行透析等)之后,观察到透析间期体重过度增加这种饮食错误明显减少。与此同时,高血压的发生率也有所降低。治疗的目的是唤起患者对其治疗有意识的负责和积极态度。通过减少治疗和社会环境中的不便之处,有可能使慢性血液透析患者更配合,更容易适应新的生活方式。然而,改善依从性的限制因素是患者的个性。

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