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护理研究

终末期肾病患者缓和医疗干预方案的构建

  • 张慧 ,
  • 杨薇 ,
  • 崔盈 ,
  • 宁晓红 ,
  • 周紫娟
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  • 100730 北京,中国医学科学院北京协和医院 1 护理部 2肾内科 3缓和医疗中心

收稿日期: 2024-12-03

  修回日期: 2025-03-10

  网络出版日期: 2025-07-12

基金资助

北京协和医院“青年践行者”项目(PMC-QNJXZ-202302)

Construction of a palliative care intervention plan for end-stage renal disease patients

  • ZHANG Hui ,
  • YANG Wei ,
  • CUI Ying ,
  • NING Xiao-Hong ,
  • ZHOU Zi-Juan
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  • Department of Nursing, 2Department of Nephrology, and 3Center of Palliative medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China

Received date: 2024-12-03

  Revised date: 2025-03-10

  Online published: 2025-07-12

摘要

目的  构建终末期肾病患者缓和医疗干预方案。 方法  采用文献分析法,初步制定终末期肾病患者缓和医疗干预方案,后通过德尔菲法专家函询,确立最终的缓和医疗干预方案。 结果  2轮专家函询问卷有效回收率分别为90.91%,100.00%,专家权威系数分别为0.87,0.85。最终确定终末期肾病患者缓和医疗干预方案包括透析前、透析中、透析后缓和医疗干预方案3项一级指标、17项二级指标、81项三级指标。 结论  本研究制定的终末期肾病患者缓和医疗干预方案科学、可靠,可为临床终末期肾病患者缓和医疗干预措施的实施提供参考和借鉴。

本文引用格式

张慧 , 杨薇 , 崔盈 , 宁晓红 , 周紫娟 . 终末期肾病患者缓和医疗干预方案的构建[J]. 中国血液净化, 2025 , 24(07) : 603 -608 . DOI: 10.3969/j.issn.1671-4091.2025.07.013

Abstract

Objective  To construct a palliative care intervention plan for patients with end-stage renal disease.  Method  A preliminary palliative care intervention plan for end-stage renal disease patients was developed through literature analysis. The final palliative care intervention plan was then established through Delphi expert consultation.  Result  The effective response rates of the two rounds of expert consultation questionnaires were 90.91% and 100.00%, respectively. The expert authority coefficients were 0.87 and 0.85, respectively. The final decision on the palliative care intervention plan for end-stage renal disease patients includes 3 primary indicators (pre dialysis, during dialysis, and post dialysis), 17 secondary indicators, and 81 tertiary indicators.  Conclusion  The palliative care intervention plan for end-stage renal disease patients developed in this study is scientific and reliable, and can provide reference and inspiration for the implementation of palliative care intervention measures for end-stage renal disease patients.
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