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EDTNA/ERCA journal (English ed.)最新文献

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Haemodialysis in acute renal failure. 血液透析在急性肾衰竭中的应用。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-07-01
A Taratufolo, M Manzi, F Pedulla, F De Bernardini, O Carofei, M R Alaimo, N Ugolini, P Galeotti
{"title":"Haemodialysis in acute renal failure.","authors":"A Taratufolo,&nbsp;M Manzi,&nbsp;F Pedulla,&nbsp;F De Bernardini,&nbsp;O Carofei,&nbsp;M R Alaimo,&nbsp;N Ugolini,&nbsp;P Galeotti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Haemodialysis in acute renal failure differs from chronic uraemia. We describe our clinical experience comparing tolerance to dialysis and dialysis efficacy of bicarbonate haemodialysis in comparison to haemofiltration. Both provide adequate treatment for ARF, Kt/v 0.6 +/- 0.1, URR 56% in bicarbonate haemodialysis compared to Kt/v 0.4 +/- 0.06, URR 60% in haemofiltration. Clinical outcome was the same in both groups, in particular the overall survival was satisfactory at about 70%. These results are likely to reflect close control of these patients by nursing staff committed to haemodialysis in acute renal failure.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 3","pages":"43-4"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21635409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The psychosocial implications of live-related kidney donation. 活体肾脏捐献的社会心理影响。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-07-01
C Eggeling
{"title":"The psychosocial implications of live-related kidney donation.","authors":"C Eggeling","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of the study was to explore the donor's experience of the live related transplantation process whilst seeking to identify the external and internal resources and ethical considerations which were reflected in the decision-making process. The outcome would indicate that altruism and a sense of moral obligation were the prime motivational influences with the spontaneity of decision-making casting doubt on the ability to give informed consent. These findings are also discussed in relation to implications for professional practice and would suggest that potential donors benefit from having access to a counsellor during the donor-search and throughout the transplant work up programme.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 3","pages":"19-22"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21634021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of problems: which study design? 问题评估:哪种研究设计?
EDTNA/ERCA journal (English ed.) Pub Date : 1999-07-01
M Elseviers
{"title":"Assessment of problems: which study design?","authors":"M Elseviers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Evidence-based medicine has gained recognition in recent years, necessitating a large amount of conclusive results derived from a large number of experimental and epidemiological studies. Renal nurses are preferable investigators in this field because of their close relationship with the renal patient. Apart from clinical studies, with an experimental study design varying a single factor between two groups of patients, epidemiological studies are needed to assess actual problems. Epidemiological studies are purely based on observation, without altering any factor. The choice of study design will depend on the available knowledge about the problem and available resources.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 3","pages":"23-6"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21634016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Results of a national epidemiological investigation of HCV infection in dialysis patients. 全国透析患者HCV感染流行病学调查结果。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-07-01
M Lombardi, T Cerrai, S Geatti, S Negroni, L Pertusini, M Pegoraro, G Di Lullo
{"title":"Results of a national epidemiological investigation of HCV infection in dialysis patients.","authors":"M Lombardi,&nbsp;T Cerrai,&nbsp;S Geatti,&nbsp;S Negroni,&nbsp;L Pertusini,&nbsp;M Pegoraro,&nbsp;G Di Lullo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Italian Branch of EDTNA/ERCA organised a national, epidemiological, retrospective study to collect data and implement preventative measures for the spread of HCV infection in dialysis units. A questionnaire was sent to staff in 830 dialysis centres to collect information relating to 1996. Data are presented on incidence/prevalence of HCV infection, antibodies, viraemia and mortality, and comparison of the management of HCV between centres. At variance with the recommendations of the Official Health Organisations, dedicated machines and separate rooms are used in many centres and this paper concludes with recommendations for units, in particular those units with a low prevalence of anti HCV positive patients.</p>","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"25 3","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21634022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caring for renal patients during loss and bereavement. 在失去亲人和丧亲之痛期间照顾肾病患者。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-06 DOI: 10.1111/J.1755-6686.1999.TB00035.X
L. Binkley
{"title":"Caring for renal patients during loss and bereavement.","authors":"L. Binkley","doi":"10.1111/J.1755-6686.1999.TB00035.X","DOIUrl":"https://doi.org/10.1111/J.1755-6686.1999.TB00035.X","url":null,"abstract":"Many of us are not prepared in assisting patients through the final phase of the life cycle. Recognising physical manifestations of stress, understanding why patients experience loss with kidney disease, and realising the supportive role that staff play for a patient undergoing this process, are key to assisting the patient to cope with loss and bereavement. The renal caregiver can assist the patient to view the ESRD life from another perspective as they journey through the life cycle to death. In so doing, the renal caregiver can recognise the needs of the family during this period, thus making them feel they fulfil a valuable role in the patient's final care. Being with a patient and family at the time of death is extremely rewarding as it helps the staff bring closure to the nurse patient relationship.","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"39 4 1","pages":"45-8"},"PeriodicalIF":0.0,"publicationDate":"1999-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85799039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Pre-dialysis education. A change in clinical practice. How effective is it? Pre-dialysis教育。临床实践的改变。效果如何?
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-06 DOI: 10.1111/J.1755-6686.1999.TB00029.X
A. O’Donnell, L. Tucker
{"title":"Pre-dialysis education. A change in clinical practice. How effective is it?","authors":"A. O’Donnell, L. Tucker","doi":"10.1111/J.1755-6686.1999.TB00029.X","DOIUrl":"https://doi.org/10.1111/J.1755-6686.1999.TB00029.X","url":null,"abstract":"The last decade has seen a great expansion in the provision of pre-dialysis education within the UK, with our programme in operation since 1996. In order to evaluate its impact on patient care, two methodologies were employed: the first used a satisfaction survey with which to examine patient perception of the programme; the second approach examined resource utilisation, in particular length of stay, as an outcome measure. Difficulties have arisen in discerning the impact of the programme amongst the other education interventions to which the patient is exposed. Comparative length of stay data was used as an alternative means of assessment. The results of the audit led us to question the effectiveness of the methodology that we employed and has led us to propose the development of a standard. It is hoped that the adoption of a more structured approach will not only aid the effectiveness of the programme itself but also facilitate the evaluation process.","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"7 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"1999-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72691549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Basic tools to integration in management and continuous quality improvement: protocols and procedures. 整合管理和持续质量改进的基本工具:协议和程序。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-06 DOI: 10.1111/J.1755-6686.1999.TB00032.X
S. Geatti, M. Pegoraro
{"title":"Basic tools to integration in management and continuous quality improvement: protocols and procedures.","authors":"S. Geatti, M. Pegoraro","doi":"10.1111/J.1755-6686.1999.TB00032.X","DOIUrl":"https://doi.org/10.1111/J.1755-6686.1999.TB00032.X","url":null,"abstract":"In order to support interested colleagues with the concepts of Continuous Quality Improvement (CQI) and Clinical Standards for Nephrology Practice, a package of education support has been set up. We enhance the use of procedures, protocols, working plans, guidelines and nursing care plans as instruments of organisational integration. For the nursing care of renal patients in HD and PD we believe that all the procedures and protocols (P&P) above could have an important impact in the renal nursing practice. We propose that group members run a programme which is presented and implemented as a modular package including, theoretical knowledge, setting up working groups involved in literature revision, evaluation of defined P&P after a period of implementation, final implementation & periodic evaluation.","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"18 1","pages":"36-8"},"PeriodicalIF":0.0,"publicationDate":"1999-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72887213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Nursing implications of a vancomycin resistant enterococcus outbreak in a renal unit. 万古霉素耐药肠球菌在肾脏单位爆发的护理意义。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-06 DOI: 10.1111/J.1755-6686.1999.TB00034.X
J. Taylor, G. Stevenson
{"title":"Nursing implications of a vancomycin resistant enterococcus outbreak in a renal unit.","authors":"J. Taylor, G. Stevenson","doi":"10.1111/J.1755-6686.1999.TB00034.X","DOIUrl":"https://doi.org/10.1111/J.1755-6686.1999.TB00034.X","url":null,"abstract":"Vancomycin Resistant Enterococcus is a difficult organism to treat and is becoming more prevalent world-wide. When it was identified in a busy renal unit, radical and expensive measures were taken to try and control the outbreak. Although these had costs to both patients and staff, the organism was eradicated from the unit.","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"82 3 1","pages":"42-4"},"PeriodicalIF":0.0,"publicationDate":"1999-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77732611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Focus charting in renal nursing: a quality issue. 肾护理焦点图:质量问题。
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-06 DOI: 10.1111/J.1755-6686.1999.TB00031.X
S. Nickerson
{"title":"Focus charting in renal nursing: a quality issue.","authors":"S. Nickerson","doi":"10.1111/J.1755-6686.1999.TB00031.X","DOIUrl":"https://doi.org/10.1111/J.1755-6686.1999.TB00031.X","url":null,"abstract":"The paper explores how to minimise charting time, yet ensure that relevant information is documented in a concise manner in locations that are easy to access. This type of charting lends itself to review and data collection which is useful for quality improvement incentives. Patient centred documentation leads to quality improvements which ultimately results on cost savings.","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"112 1","pages":"33-5"},"PeriodicalIF":0.0,"publicationDate":"1999-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74831863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Do anaemia co-ordinators have to be nurses? 贫血协调员必须是护士吗?
EDTNA/ERCA journal (English ed.) Pub Date : 1999-04-06 DOI: 10.1111/J.1755-6686.1999.TB00033.X
D. Sanders, D. Hibbert, P. Ackrill, S. Clinkard, J. Cooke, N. Cottrell
{"title":"Do anaemia co-ordinators have to be nurses?","authors":"D. Sanders, D. Hibbert, P. Ackrill, S. Clinkard, J. Cooke, N. Cottrell","doi":"10.1111/J.1755-6686.1999.TB00033.X","DOIUrl":"https://doi.org/10.1111/J.1755-6686.1999.TB00033.X","url":null,"abstract":"The role of the anaemia co-ordinator has developed subsequent to the introduction of erythropoietin therapy for renal anaemia, and posts have been established at an increasing number of hospitals in the UK. While co-ordinators have previously tended to come from a nursing background, the post at our hospital has been held jointly by a pharmacist and a clinical nurse specialist since July 1997. This paper presents an informal evaluation of our experience of joint working, and has drawn on diary entries to outline the components of the service provided. The main focus is on the boundary negotiated between pharmacist and nurse responsibilities and expertise, involving as it does areas of potential conflict and complementarity. Through a critical examination of the assumptions and expectations associated with 'generic' pharmacist and nurse roles, we begin to clarify the respective contributions which the disciplines make to anaemia management.","PeriodicalId":79589,"journal":{"name":"EDTNA/ERCA journal (English ed.)","volume":"170 1","pages":"39-41"},"PeriodicalIF":0.0,"publicationDate":"1999-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84791670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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