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首页> 外文会议>Nihon To?seki Igakkai., Gakujutsu Shu?kai So?kai >Total Renal Care Approach for Patients with End-Stage Renal Disease
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Total Renal Care Approach for Patients with End-Stage Renal Disease

机译：肾病患者肾脏护理方法

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Background: Advances in dialysis medicine have enabled end-stage renal disease (ESRD) patients to live longer. ESRD patients and their family members experience the illness in everyday life, and patients are required to manage their own disease to live longer. Psychological flexibility benefits a person and leads to healthier outcomes. Constructing an independent-minded attitude toward their lives with ESRD is preferably needed. Summary: Holistic care is needed to see patients with ESRD and their families because they are faced with life-long illness. From the scholastic standpoint, integration of natural science and humanities is needed. After some collaboration with philosophers, sociologists, and cognitive behavioral therapists, we propose a practical method which we call the total renal care (TRC) approach. With the TRC approach, we help patients and their families by adopting a psychosocial educational approach according to the stage of attitude toward their life with ESRD. In the predialysis care and even in the end-of-life process, selection of therapy based on the individual patient's life and their viewpoints on family care burden are important. This enables patients and their families to make selections for renal replacement therapy including home dialysis, renal transplantation, and dialysis discontinuation, as well as hemodialysis and peritoneal dialysis. Key Messages: ESRD is a lifelong disease, and acquiring psychological flexibility would benefit patients and lead to healthier outcomes. Sharing the notion of TRC with their caregivers would strengthen this.
机译：背景：透析药物的进展使终末期肾病（ESRD）患者能够持续更长时间。 ESRD患者及其家人在日常生活中经历疾病，患者需要管理自己的疾病以持久。心理灵活性使人有利于一个人并导致更健康的结果。优选地需要用ESRD构建与ESRD的独立态度。摘要：需要整体护理，以便在患有ESRD及其家庭的患者中看到患者，因为它们面临着终身疾病。从学术角度来看，需要自然科学和人文的整合。经过一些与哲学家，社会学家和认知行为治疗师的合作，我们提出了一种我们称之为肾脏护理（TRC）方法的实用方法。通过TRC方法，我们通过根据态度与ESRD态度的态度采用心理社会教育方法，帮助患者及其家人。在预雷尼斯护理乃至在生命结束过程中，基于个体患者的生命的治疗选择以及对家庭护理负担的观点很重要。这使患者及其家庭能够为肾脏替代疗法提供选择，包括家庭透析，肾移植和透析停止，以及血液透析和腹膜透析。关键消息：ESRD是一种终身疾病，并获得心理灵活性会使患者受益并导致更健康的结果。与他们的照顾者分享TRC的概念会加强这一点。

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