测量慢性肾脏病的各种症状:纳入肾脏护理的策略。

IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY Seminars in nephrology Pub Date : 2024-05-01 DOI:10.1016/j.semnephrol.2024.151546
Sara N. Davison MD , Michelle M. Richardson PharmD , Glenda V. Roberts BSc
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引用次数: 0

摘要

许多患有慢性肾脏病 (CKD) 的人都会有很多症状。对症状进行测量可以对患者及其护理重点关注的问题做出回应,并有助于改善整体疗效,包括与健康相关的生活质量。本文旨在讨论测量各种慢性肾脏病症状的方法,并强调促进将常规症状评估纳入肾脏护理的策略。具体来说,我们讨论了在 CKD 中使用与测量症状相关的有效患者报告结果测量方法,包括其优点和局限性,并介绍了常用的患者报告结果测量方法。我们讨论了在考虑制定常规症状测量和处理计划时应考虑的潜在障碍。最后,我们概述了一种系统的、逐步的症状测量方法,以及解决常见障碍的实施策略。虽然本文概述的原则可应用于研究和审计,但主要重点是症状测量,旨在为临床实践提供信息并直接改善患者预后。
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Measuring Symptoms Across the Spectrum of Chronic Kidney Disease: Strategies for Incorporation Into Kidney Care
Many people across the spectrum of chronic kidney disease (CKD) experience a large symptom burden. Measuring symptoms can be a way of responding to the concerns of patients and their priorities of care and may help to improve overall outcomes, including health-related quality of life. The objective of this article is to discuss approaches to measuring symptoms across the spectrum of CKD and to highlight strategies to facilitate the incorporation of routine symptom assessment into kidney care. Specifically, we discuss the use of validated patient-reported outcome measures in CKD as they relate to measuring symptoms, including their benefits and limitations, and describe commonly used patient-reported outcome measures. We discuss potential barriers that should be considered when contemplating the development of a program to routinely measure and address symptoms. Finally, we outline a systematic, stepwise approach to measuring symptoms with implementation strategies to address the common barriers. Although the principles outlined in this article can be applied to research and audit, the principal focus is on symptom measurement aimed at informing clinical practice and directly improving patient outcomes.
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来源期刊
Seminars in nephrology
Seminars in nephrology 医学-泌尿学与肾脏学
CiteScore
5.60
自引率
0.00%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Seminars in Nephrology is a timely source for the publication of new concepts and research findings relevant to the clinical practice of nephrology. Each issue is an organized compendium of practical information that serves as a lasting reference for nephrologists, internists and physicians in training.
期刊最新文献
Table of Contents Editorial Board Masthead Electronic Collection of Patient-Reported Outcomes to Improve Kidney Care: Benefits, Drawbacks, and Next Steps Patient-Reported Outcomes to Achieve Person-Centered Care for Aging People With Kidney Disease
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