Pathways to improve nephrologist comfort in managing patients on in-center or home self-care dialysis

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-05-08 DOI:10.1111/hdi.13093
Minghui Huang, Anita Vincent Johnson, Negiin Pourafshar, Rakesh Malhotra, Jason Yang, Monarch Shah, Rasheed Balogun, Tushar Chopra
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Abstract

In end-stage kidney disease (ESKD), patient engagement and empowerment are associated with improved survival and complications. However, patients lack education and confidence to participate in self-care. The development of in center self-care hemodialysis can enable motivated patients to allocate autonomy, increase satisfaction and engagement, reduce human resource intensiveness, and cultivate a curiosity about home dialysis. In this review, we emphasize the role of education to overcome barriers to home dialysis, strategies of improving home dialysis utilization in the COVID 19 era, the significance of in-center self-care dialysis (e.g., cost containment and empowering patients), and implementation of an in-center self-care dialysis as a bridge to home hemodialysis (HHD).

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改善肾科医生在中心或家庭自我护理透析患者管理中的舒适度的途径
在终末期肾脏疾病(ESKD)中,患者参与和授权与改善生存和并发症相关。然而,患者缺乏参与自我护理的教育和信心。中心自我护理血液透析的发展可以使有动机的患者分配自主权,提高满意度和参与度,降低人力资源密集性,培养对家庭透析的好奇心。在这篇综述中,我们强调了教育在克服家庭透析障碍中的作用,在COVID - 19时代提高家庭透析利用率的策略,中心自我护理透析的重要性(例如,成本控制和赋予患者权力),以及实施中心自我护理透析作为家庭血液透析(HHD)的桥梁。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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