慢性肾脏疾病老年综合征的跨学科护理:一项定性研究。

IF 8.5 1区 医学 Q1 UROLOGY & NEPHROLOGY
Aishwarya Subash, Maya Levinson, Kemberlee Bonnet, Rasheeda K Hall, Fahad Saeed, Christine K Liu, Totini S Chatterjee, Amanda S Mixon, Edward R Gould, Sara N Horst, Ebele M Umeukeje, Rachel A Burdick, Warren D Taylor, Kerri L Cavanaugh, David G Schlundt, Devika Nair
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引用次数: 0

摘要

背景:尽管认知障碍、虚弱和抑郁等关键老年综合征的患病率、预后意义和患者优先考虑,但在美国的慢性肾脏疾病(CKD)护理中并未常规处理。在跨学科的护理模式中,具有不同专业知识的卫生专业人员合作解决患者慢性疾病发生的所有症状和功能障碍。因此,常规处理CKD中的老年综合征可能需要实施这种循证护理模式,并使其适应CKD患者的需求。为了了解卫生系统如何实施跨学科的护理模式来解决慢性肾病的老年综合征,我们采访了世界各地具有相关专业知识的卫生专业人员。方法:我们根据实施研究综合框架进行了定性研究。我们采访了来自美国、英国、印度和加拿大的肾病学家、行政人员、老年病学家、姑息医学专家、专科专家和在其他跨学科诊所工作的联合卫生专业人员。我们用归纳演绎的方法分析了结果。结果:42位专家出现主题饱和。出现了三个主要领域:实现的障碍、减轻障碍的策略和实现的好处。障碍被分为以下几个主要主题:1)老年人友好政策和劳动力可用性;2)组织文化和结构,以及3)肾病专家和患者的看法。减少障碍的策略被分为以下几个主题:1)证明可行性;2)促进有效的卫生传播;3)寻求管理者和临床医生的支持;4)扩大患者信息和治疗证据的基础。建议实施的好处包括改善共同决策和减少肾科医生的倦怠。结论:实施一种针对CKD老年综合征的跨学科护理模式是可能的,但需要克服政策相关、财政、文化和结构障碍。这种护理模式最终可能使患者和肾病学家受益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interdisciplinary Care for Geriatric Syndromes in CKD: A Qualitative Study.
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来源期刊
CiteScore
12.20
自引率
3.10%
发文量
514
审稿时长
3-6 weeks
期刊介绍: The Clinical Journal of the American Society of Nephrology strives to establish itself as the foremost authority in communicating and influencing advances in clinical nephrology by (1) swiftly and effectively disseminating pivotal developments in clinical and translational research in nephrology, encompassing innovations in research methods and care delivery; (2) providing context for these advances in relation to future research directions and patient care; and (3) becoming a key voice on issues with potential implications for the clinical practice of nephrology, particularly within the United States. Original manuscript topics cover a range of areas, including Acid/Base and Electrolyte Disorders, Acute Kidney Injury and ICU Nephrology, Chronic Kidney Disease, Clinical Nephrology, Cystic Kidney Disease, Diabetes and the Kidney, Genetics, Geriatric and Palliative Nephrology, Glomerular and Tubulointerstitial Diseases, Hypertension, Maintenance Dialysis, Mineral Metabolism, Nephrolithiasis, and Transplantation.
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