Lebelt K, Weissbach G, Bayn M, Bergan J
Klinik für Kinderheilkunde, Medizinische Akademie Dresden.
Padiatr Grenzgeb. 1993;31(3):159-69.
In the district of Bautzen two different systems of care in nephrologic patients had been established since 1974. After the clinical diagnostics and treatment in the district hospital they had been transmitted to pediatric practices for after-treatment care. Beside it diagnostics and treatment in such patients was performed primarily in an outpatient department and the after-treatment care was done by the same pediatrician. In 78.4 percent of the children treated clinically an after-treatment care had been obtained, as was detected by a questionnaire. This must be of disadvantage. Relapses of the urinary tract infection occurred in more than 50 percent and after quite different intervals. In 27.6 percent of patients getting after-treatment care it was discontinued early. In the outpatient department 91.1 percent of all patients were under control regularly and for a sufficient time. More patients with chronic pyelonephritis had been recognized in the region of that outpatient department. The advantage of this system is given by a thorough supervision by the same physician above all. Without doubt the care for nephrologic patients can be carried out with high quality too by physicians in a private practice conscious of the importance of this task.
自1974年以来，在包岑地区建立了两种不同的肾病患者护理体系。在地区医院进行临床诊断和治疗后，患者被转至儿科诊所进行后续护理。此外，此类患者的诊断和治疗主要在门诊部进行，后续护理由同一位儿科医生负责。通过问卷调查发现，在接受临床治疗的儿童中，78.4%的人获得了后续护理。这肯定存在弊端。超过50%的患者出现了尿路感染复发，且复发间隔差异很大。在接受后续护理的患者中，27.6%的人过早中断了护理。在门诊部，91.1%的患者得到了定期且足够时长的监控。在该门诊部所在地区，确诊了更多患有慢性肾盂肾炎的患者。该体系的优势首先在于由同一位医生进行全面监督。毫无疑问，意识到这项任务重要性的私人执业医生也能够高质量地开展肾病患者护理工作。
