Xuefei Wang, Ke Tian, Jin Hu, Shengqin Kang, Shunzhi Deng, Xueyan Gao, Yongzhen Mo
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引用次数: 0
Abstract
Background: A smooth transition to dialysis is essential for survival and quality of life in patients with advanced chronic kidney disease (CKD).
Objective: To develop a transition framework for patients with advanced CKD based on the existing research and transition theory, which aims to illuminate patients' transition experience and provide potential intervention strategies.
Methods: An integrative review methodology was employed, with searches conducted in ten Chinese and English databases (PubMed, Web of Science, CINAHL, Embase, etc.). Articles were screened and selected based on predefined criteria independently by two authors, with reference lists of included studies reviewed for further studies. Data analysis followed the approach proposed by Whittemore and Knafl.
Results: 13 qualitative, 7 quantitative and 1 mixed methods articles were extracted and evaluated. This review develops the transition framework for patients with advanced CKD, including the concepts of transition nature, conditions, intervention strategies, and response patterns. It provides a comprehensive understanding of how personal, dialysis-related, interpersonal, community, and societal factors shape patients' transition experiences and identifies actionable strategies to enhance transitional care.
Conclusion: The transition of patients with advanced CKD from predialysis to dialysis is multiple and dynamic. Healthcare professionals should take into account diverse factors influencing this process and formulate tailored strategies to support patients in achieving a smooth and healthy transition.
背景：顺利过渡到透析对晚期慢性肾病（CKD）患者的生存和生活质量至关重要。目的：在现有研究和过渡理论的基础上，建立晚期CKD患者的过渡框架，以阐明患者的过渡经验，并提供潜在的干预策略。方法：采用综合评价方法，检索了10个中英文数据库（PubMed、Web of Science、CINAHL、Embase等）。文章由两位作者根据预先定义的标准独立筛选和选择，并对纳入研究的参考文献列表进行进一步研究。数据分析采用Whittemore和Knafl提出的方法。结果：共提取13篇定性法、7篇定量法、1篇混合法文章并进行评价。这篇综述发展了晚期CKD患者的过渡框架，包括过渡性质、条件、干预策略和反应模式的概念。它提供了个人、透析相关、人际、社区和社会因素如何影响患者过渡经历的全面理解，并确定了可操作的策略来加强过渡护理。结论：晚期CKD患者从透析前到透析的转变是多重的、动态的。医护人员应考虑到影响这一过程的各种因素，并制定有针对性的策略，以支持患者实现平稳和健康的过渡。临床试验号：不适用。
期刊介绍：
BMC Nephrology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of kidney and associated disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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