臨牀透析 Vol.29 No.6(2)


特集名 CKDステージG3以降の診療と看護・生活支援
題名 CKD患者に対する包括的看護総論―療養生活への支援
発刊年月 2013年 06月
著者 杉田 和代 聖マリアンナ医科大学病院看護部外来・看護師
【 要旨 】 慢性腎臓病(CKD)対策の重要性は広く啓発され,診療方針も普及しつつあるが,対策の成否は治療を受ける患者の療養生活に依存する.療養生活の大半は自宅で行われ,これを支えるには当院で施行している「腎臓病看護相談」など,通院時の外来支援が重要である.患者の療養生活を支援するには多職種との円滑かつ緊密な連携も重要になる.「糖尿病透析予防チーム」や「腎臓病教室」などは患者指導と同時に,多職種相互理解の手段ともなる.CKD医療のなかで,看護師は患者の生活に立脚した患者教育や多職種と連携した生活調整の支援を担う.患者の受診行動や療養生活を援助し,末期腎不全への進展遅延,合併症の予防,さらには適切な腎代替療法開始を支えるなど,看護の果たす役割は大きい.
Theme Medical treatment, nursing care, and life support for patients with advanced CKD stages
Title Nursing for outpatients with chronic kidney disease
Author Kazuyo Sugita Department of Nursing, St. Marianna University School of Medicine Hospital
[ Summary ] The importance of prevention and treatment of chronic kidney disease (CKD) is well recognized. Several guidelines for treatment have also been published. However the effects of these counter measures in treating CKD depend on the adherence of CKD patients to treatment regimens. Adherence includes many elements such as diet therapy, drug injestion and life style. Our hospital educates CKD patients in our outpatient clinic through a program for consultation related to CKD guide for nursing. Dialysis prevention teams to treat diabetic CKD patients may employ seminars for CKD treatment of patients. As a result, we have achieved beneficial results for the management of CKD patients to achieve better outcomes. The fundamentals of our trials are introduced.
戻る