末期腎臟病人之安寧緩和護理

Hospice Palliative Nursing Care for Patients With End-Stage Kidney Disease

林翠玲(Tsui- Ling Lin) ； 劉蕙婷(Hui-Ting Liu) ； 李慶玟(Ching-Wen Lee) ； 賴俊夫(Chun-Fu Lai) ； 胡文郁(Wen-Yu Hu)

《腎臟與透析》 34卷1期 (2022/03) Pp. 32-35

https://doi.org/10.6340/KD.202203_34(1).0006

摘要

安寧療護為末期腎臟病治療模式之一，2009年末期腎臟安寧療護已納入非癌末期照護範圍中，但實際死亡前僅有12%有接受過安寧共同照護，臨床上如何推廣與執行透析安寧需要團隊持續努力；生命末期時會經歷疼痛、意識混亂與呼吸費力等生理症狀，照顧者常出現焦慮及擔憂情緒，照護團隊應及時提供安寧療護介入以提供適切照護。護理人員身為第一線照護者，應扮演轉銜安寧照護關鍵角色，於照護過程中協助病患於生命末期也能獲得高品質的照護。

關鍵字

末期腎臟病 ； 安寧緩和療護 ； 護理

並列摘要

Hospice palliative care is one of the treatment choices for terminally-ill patients with end-stage kidney disease. Although these patients had been included as candidates for noncancer hospice care in Taiwan, only 12% of deceased dialysis patients had obtained palliative care before their death. More efforts are required to facilitate hospice palliative care in this population. Near the end of life, patients and their family may have physical, psychological, and social distresses. The multidisciplinary medical team should appropriately supply access to palliative care and hospice services to optimize clinical care. And our nursing staff plays a critical role in assisting end-of-life patients to attain a high quality of care.

並列關鍵字

end-stage kidney disease (ESKD) ； hospice palliative care ； nursing