终末期肾病患者缓和医疗的应用现状及研究进展

Application Status and Research Progress of Palliative Care in Patients with End-stage Renal Disease

终末期肾病是慢性肾脏病的终末阶段,目前国内关于终末期肾病患者缓和医疗的研究尚处于起步阶段。国内外终末期肾病缓和医疗的研究内容主要包括:症状的识别和管理、预立医疗照护计划、心理社会和精神支持以及透析决策中的伦理问题等,实践经验仍不足。通过从终末期肾病患者缓和医疗的概述、发展情况、患者需求、开展形式及模式等方面进行综述,梳理相关研究进展及应用现状,以期为今后相关研究和临床实践提供参考。

End-stage renal disease is the final stage of chronic kidney disease,and research on palliative care for end-stage renal disease patients in China is still in its infancy.The research content of palliative care for end-stage renal disease at home and abroad mainly includes identification and management of symptoms,advance care planning,psychosocial and spiritual support,and ethical issues in dialysis decision-making.However,practical experience is still insufficient.By focusing on the overview,development status,patient needs,as well as implementation forms and models of palliative care for endstage renal disease patients,this paper summarized the research progress and application status of related research,with a view to providing references for future domestic research and clinical practice in this field.