摘要
肾性贫血是慢性肾脏病的常见并发症,不仅严重影响患者生活质量,还会显著增加心血管事件发生及死亡的风险。肾性贫血患者自我管理水平与治疗效果、预后息息相关,目前尚缺乏相关规范化指导。本共识面向指导肾性贫血患者进行自我管理的医护人员,由肾脏病、血液净化、护理学、运动康复、药学、心理学、公共卫生专家共同编写,结合最新循证医学证据及临床经验,为医护人员指导肾性贫血患者进行自我管理提供依据。共识内容包括为患者评估并建立必备的知识储备、及时就诊及随访、合理用药、生活方式指导、监测并避免加重因素、医患共同决策和自我管理评估,多维度系统规范化指导肾性贫血患者自我管理。旨在进一步提高患者自我管理水平,提升我国肾性贫血达标率,改善患者预后。
Renal anemia is a common complication of chronic kidney disease(CKD),which not only se-riously affects the life quality of CKD patients,but also significantly increases the risk of cardiovascular events and death.Self-management of patients with renal anemia obviously affects the treatment outcome and prognosis of the patients.At present,there is still a lack of standardized guidance for patients'self-manage-ment.The target of this consensus is for the medical staff to guide the self-management of patients with renal anemia.It is jointly written by experts in nephrology,blood purification,nursing,hematology,pharmacy,and public health,and supplies the latest evidence-based medicine and clinical experience for medical staff to guide patients with renal anemia holding self-management.The consensus content includes assessing and es-tablishing necessary knowledge reserves for patients,consultation and follow up on time,rational drug use,lifestyle guidance,monitoring and avoiding aggravating factors,shared decision making and self-management evaluation.Multi-dimensional standardization guidance is provided for self-management of patients with re-nal anemia,aiming to further improve their self-management level,enhance the compliance rate of renal ane-mia in China,and improve prognosis.
出处
《中国血液净化》
2025年第1期1-12,共12页
Chinese Journal of Blood Purification
关键词
肾性贫血
患者自我管理
慢性肾脏病
医患共同决策
Renal anemia
Patient self-management
Chronic kidney disease
Shared decision making
