{"title":"探讨为儿童、老人和孕妇提供血液透析时面临的挑战和注意事项:对全球已发表文献的叙述性回顾","authors":"Megha Nagaraj Nayak, Veena Natti Krishna","doi":"10.1016/j.cegh.2024.101685","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Hemodialysis patients have unique physiological characteristics that necessitate specialized care during the treatment. As the prevalence of kidney disease continues to rise, the importance of addressing the unique needs of these patient populations in hemodialysis cannot be overstated. This paper aims to explore the distinct considerations and challenges involved in providing hemodialysis in pediatric, elderly, and pregnant cases.</p></div><div><h3>Methods</h3><p>The narrative search was conducted in the online database of Google Scholar, and Pub Med and the inclusion period for eligible studies spanned from 2012 to 2022. The final extraction of data focused specifically on the topic of “Challenges and considerations when providing hemodialysis to elderly patients, pregnant women, and children”. The gathered data was narratively summarized into themes derived by authors.</p></div><div><h3>Results</h3><p>Hemodialysis treatment poses distinct challenges for pediatric, elderly, and pregnant cases, requiring specialized attention. In the case of pediatric patients, ensuring proper vascular access was a major challenge, while elderly cases on hemodialysis had issues related to cardiovascular health and frailty. Pregnant women face the delicate balance of providing adequate dialysis to manage uremic symptoms while safeguarding the well-being of the mother and the developing foetus.</p></div><div><h3>Conclusion</h3><p>Tailoring treatment plans to account for unique physiological, psychosocial, and medical considerations is essential to achieve optimal outcomes when providing hemodialysis to pediatric, elderly, and pregnant cases. The literature review underscores the importance of evidence-based practice, ongoing research, and the collaboration of healthcare providers from various disciplines.</p></div>","PeriodicalId":46404,"journal":{"name":"Clinical Epidemiology and Global Health","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213398424001817/pdfft?md5=4b3513e5ca8aed998698c4fe279c88f2&pid=1-s2.0-S2213398424001817-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Exploring challenges and considerations while providing hemodialysis to pediatric, elderly, and pregnant cases: A narrative review of globally published literature\",\"authors\":\"Megha Nagaraj Nayak, Veena Natti Krishna\",\"doi\":\"10.1016/j.cegh.2024.101685\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Hemodialysis patients have unique physiological characteristics that necessitate specialized care during the treatment. As the prevalence of kidney disease continues to rise, the importance of addressing the unique needs of these patient populations in hemodialysis cannot be overstated. This paper aims to explore the distinct considerations and challenges involved in providing hemodialysis in pediatric, elderly, and pregnant cases.</p></div><div><h3>Methods</h3><p>The narrative search was conducted in the online database of Google Scholar, and Pub Med and the inclusion period for eligible studies spanned from 2012 to 2022. The final extraction of data focused specifically on the topic of “Challenges and considerations when providing hemodialysis to elderly patients, pregnant women, and children”. The gathered data was narratively summarized into themes derived by authors.</p></div><div><h3>Results</h3><p>Hemodialysis treatment poses distinct challenges for pediatric, elderly, and pregnant cases, requiring specialized attention. In the case of pediatric patients, ensuring proper vascular access was a major challenge, while elderly cases on hemodialysis had issues related to cardiovascular health and frailty. Pregnant women face the delicate balance of providing adequate dialysis to manage uremic symptoms while safeguarding the well-being of the mother and the developing foetus.</p></div><div><h3>Conclusion</h3><p>Tailoring treatment plans to account for unique physiological, psychosocial, and medical considerations is essential to achieve optimal outcomes when providing hemodialysis to pediatric, elderly, and pregnant cases. The literature review underscores the importance of evidence-based practice, ongoing research, and the collaboration of healthcare providers from various disciplines.</p></div>\",\"PeriodicalId\":46404,\"journal\":{\"name\":\"Clinical Epidemiology and Global Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2213398424001817/pdfft?md5=4b3513e5ca8aed998698c4fe279c88f2&pid=1-s2.0-S2213398424001817-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Epidemiology and Global Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2213398424001817\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Epidemiology and Global Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213398424001817","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
背景血液透析患者具有独特的生理特点,因此在治疗过程中需要专门的护理。随着肾脏疾病患病率的不断上升,满足这些患者群体在血液透析中的独特需求的重要性无论如何强调都不为过。本文旨在探讨在为儿童、老年人和孕妇提供血液透析时所涉及的不同考虑因素和挑战。方法在 Google Scholar 和 Pub Med 在线数据库中进行了叙述性检索,符合条件的研究的纳入期为 2012 年至 2022 年。最终提取的数据主要集中在 "为老年患者、孕妇和儿童提供血液透析时面临的挑战和注意事项 "这一主题上。结果血液透析治疗对儿科、老年和妊娠病例提出了不同的挑战,需要特别关注。对于儿科患者来说,确保适当的血管通路是一大挑战,而老年血液透析患者则存在与心血管健康和体弱有关的问题。孕妇面临着微妙的平衡,既要提供足够的透析来控制尿毒症症状,又要保障母亲和发育中胎儿的健康。文献综述强调了循证实践、持续研究和各学科医护人员合作的重要性。
Exploring challenges and considerations while providing hemodialysis to pediatric, elderly, and pregnant cases: A narrative review of globally published literature
Background
Hemodialysis patients have unique physiological characteristics that necessitate specialized care during the treatment. As the prevalence of kidney disease continues to rise, the importance of addressing the unique needs of these patient populations in hemodialysis cannot be overstated. This paper aims to explore the distinct considerations and challenges involved in providing hemodialysis in pediatric, elderly, and pregnant cases.
Methods
The narrative search was conducted in the online database of Google Scholar, and Pub Med and the inclusion period for eligible studies spanned from 2012 to 2022. The final extraction of data focused specifically on the topic of “Challenges and considerations when providing hemodialysis to elderly patients, pregnant women, and children”. The gathered data was narratively summarized into themes derived by authors.
Results
Hemodialysis treatment poses distinct challenges for pediatric, elderly, and pregnant cases, requiring specialized attention. In the case of pediatric patients, ensuring proper vascular access was a major challenge, while elderly cases on hemodialysis had issues related to cardiovascular health and frailty. Pregnant women face the delicate balance of providing adequate dialysis to manage uremic symptoms while safeguarding the well-being of the mother and the developing foetus.
Conclusion
Tailoring treatment plans to account for unique physiological, psychosocial, and medical considerations is essential to achieve optimal outcomes when providing hemodialysis to pediatric, elderly, and pregnant cases. The literature review underscores the importance of evidence-based practice, ongoing research, and the collaboration of healthcare providers from various disciplines.
期刊介绍:
Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.