为慢性肾病第 4-5 阶段患者提供远程健康教育:消除患者和医疗服务提供者层面的障碍。

IF 0.8 4区 医学 Q4 NURSING Nephrology Nursing Journal Pub Date : 2024-09-01
Vicki Montoya, Desiree A Díaz, Gregory E Gilbert
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引用次数: 0

摘要

在过去五年中,家庭透析率几乎没有提高。透析前患者教育的缺乏一直是阻碍透析率进一步提高的障碍。在这项研究中,针对非学术性门诊肾脏内科诊所中的慢性肾脏病(CKD)4-5 期患者,采用远程医疗教育的方式解决了患者和医疗服务提供者层面的慢性肾脏病(CKD)教育障碍。该研究采用准实验设计,将接受远程健康教育的患者(n = 31)与接受常规护理的患者进行比较。在教育前、教育后和三个月后分别测量了肾功能、减缓慢性肾功能衰竭进展和肾衰竭治疗方案等慢性肾功能衰竭知识分量表。不同时间段或不同治疗组的 CKD 知识得分没有明显差异。远程医疗慢性肾脏病教育提供了灵活的选择,可解决患者/医疗服务提供者的障碍,并有可能改善患者对家庭透析疗法的选择。
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Utilizing Telehealth Education for Persons with Chronic Kidney Disease Stages 4-5: Eliminating Barriers at the Patient and Provider Level.

Home dialysis rates have improved little over the past five years. Lack of pre-dialysis patient education persists as an obstacle precluding greater improvement. In this study, barriers to chronic kidney disease (CKD) education at patient and provider levels were addressed using telehealth education for patients with CKD Stages 4-5 in a nonacademic outpatient nephrology practice. A quasi-experimental design was used to compare patients (n = 31) who received telehealth education to those in usual care. CKD Knowledge subscales of kidney function, slowing the progression of CKD, and options for treatment of kidney failure were measured pre-education, post-education, and three months later. There was no significant difference in CKD Knowledge scores over time or in treatment groups. Telehealth CKD education offers flexible options to address patient/provider barriers and potentially improve patient choice of home dialysis therapies.

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来源期刊
Nephrology Nursing Journal
Nephrology Nursing Journal Medicine-General Medicine
CiteScore
0.70
自引率
22.20%
发文量
67
期刊介绍: The Nephrology Nursing Journal is a refereed clinical and scientific resource that provides current information on wide variety of subjects to facilitate the practice of professional nephrology nursing. Its purpose is to disseminate information on the latest advances in research, practice, and education to nephrology nurses to positively influence the quality of care they provide. The Nephrology Nursing Journal is designed to meet the educational and information needs of nephrology nurses in a variety of roles at all levels of practice. It also serves as a source for nonnephrology nurses. Its content expands the knowledge base for nephrology nurses, stimulates professional growth, guides research-based practice, presents new technological developments, and provides a forum for review of critical issues promoting the advancement of nephrology nursing practice.
期刊最新文献
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