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关于透析方案的决策:对患者观点的审核

Making decisions about dialysis options: an audit of patients' views.

作者信息

Coupe D

机构信息

University Hospital Birmingham NHS Trust, UK.

出版信息

EDTNA ERCA J. 1998 Jan-Mar;24(1):25-6, 31.

PMID:9873281
Abstract

This paper describes the evaluation and audit of 297 patients referred for pre-dialysis education. Education and support for patients include home visits, visits to the dialysis units, written, visual and audio educational material and patient information day. There was a 50-50 split between patients opting for haemodialysis and peritoneal, while in circumstances where patients presented acutely or at end-stage, the split was 80-20 in favour of haemodialysis. Patients views were sought by postal questionnaire (Over 75% of patient satisfaction with information), areas of least satisfaction concerned adaptation to everyday life on dialysis, and potential problems and complications of treatment. Evaluation has been favourable. Recommendations include changes in the format and management of the education programme and in particular with regard to patients that present at end-stage.

摘要

本文描述了对297名被转诊接受透析前教育患者的评估与审核。对患者的教育与支持包括家访、到透析科室就诊、书面、视觉和音频教育材料以及患者信息日。选择血液透析和腹膜透析的患者比例为50比50,而在患者急性发病或处于终末期的情况下,选择血液透析的比例为80%,腹膜透析为20%。通过邮寄问卷征求了患者意见(超过75%的患者对信息满意),最不满意的方面涉及适应透析后的日常生活以及治疗的潜在问题和并发症。评估结果良好。建议包括改变教育项目的形式和管理,特别是针对终末期患者。

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Ego mechanisms of defense are associated with patients' preference of treatment modality independent of psychological distress in end-stage renal disease.
防御的自我机制与终末期肾病患者对治疗方式的偏好相关,而与心理困扰无关。
Patient Prefer Adherence. 2010 Mar 24;4:25-32. doi: 10.2147/ppa.s7796.