血液透析患者口腔问题的伦理思考
摘要
<正>血液透析是针对终末期肾病(end stage renal disease,ESRD)患者进行的一种治疗手段,通过肾替代治疗改善患者症状,对延长患者的生命及提高患者的生活质量具有重要意义[1]。但治疗过程中维持性血液透析(maintenance hemodialyeis,MHD)患者常伴有各种严重的并发症,生活质量受到严重制约,从而影响患者持续治疗的信心。口渴就是一
引文
[1]赵庆杰,邹继华,彭影,等.维持性血液透析患者等待肾移植期间的心理体验[J].中国血液净化,2017,16(5):333-335.
[2]刘国香,韩国峰,王颖.维持性血液透析患者口渴以及影响因素分析[J].中国中西医结合肾病杂志,2016,17(12):1095-1097.
[3]Bossola M,Di Stasio E,Giungi S,et al.Xerostomia is associated with old age and poorappetite in patients on chronic hemodialysis[J].J Ren Nutr,2013,23(6):432-437.
[4]Eftimovska-Otovic N,Stojceva-Taneva O,Grozdanovski R,et al.Clinical effects of standard and individualized dialysate sodium in patients on maintenance hemodialysis[J].Open Access Maced J Med Sci,2016,4(2):248-252.
[5]Bruzda-Zwiech A,Szczepanska J,Zwiech R.Sodium gradient,xerostomia,thirst and interdialytic excessive weight gain:a possible relationship with hyposalivation in patients on maintenance hemodialysis[J].Int Urol Nephrol,2014,46(7):1411-1417.
[6]于大君,刘涛,肖瑜,等.维持性血液透析患者口腔干燥症调查及与临床因素的相关分析[J].军事医学,2015,39(9):729-731.
[7]Swapna LA,Reddy RS,Ramesh T,et al.Oral health status in haemodialysis patients[J].J Clin Diagn Res,2013,7(9):2047-2050.
[8]王潘,唐春苑,叶晓青,等.维持性血液透析患者口渴感及其影响因素的研究进展[J].中国血液净化,2017,16(5):326-328.
[9]高云,周英.维持性血液透析患者症状困扰的现况调查[J].现代预防医学,2014,41(15):2872-2874.
[10]Marques PL,Libório AB,Saintrain MV.Hemodialysis-specific factors associated with salivary flow rates[J].Artif Organs,2015,39(2):181-186.
[11]李雪,孙晓晶.维持性血液透析患者自我感受负担及相关因素分析[D].锦州医科大学,2016,30(4):258-263.
[12]Dumitrescu AL,Kawamura M.Involvement of psychosocial factors in the association of obesity with periodontitis[J].J Oral Sci,2010,52(1):115-124.
[13]王密密,杜志红,龚晓玲,等.绵阳市公立综合医院临床护士护理伦理决策能力现状及影响因素[J].职业与健康,2018,34(22):3071-3074.
[14]Buda LV.Ensuring maintenance of oral hygiene in persons with special needs[J].Dent Clin North Am,2016,60(3):593-604.
[15]李亭亭,樊蓉,吕桂兰.维持性血液透析患者家庭照顾者负担现状及影响因素分析[J].中国血液净化,2017,16(3):179-182.
[16]彭静,张武丽,张静,等.人际和谐理论视角下医患关系的研究[J].中国医学伦理学,2016,29(3):387-388.
[17]Bellomo G,Coccetta P,Pasticci F,et al.The effect of psychological intervention on thirst and interdialytic weight gain in patients on chronic hemodialysis:a randomized controlled trial[J].J Ren Nutr,2015,25(5):426-432.
[2]刘国香,韩国峰,王颖.维持性血液透析患者口渴以及影响因素分析[J].中国中西医结合肾病杂志,2016,17(12):1095-1097.
[3]Bossola M,Di Stasio E,Giungi S,et al.Xerostomia is associated with old age and poorappetite in patients on chronic hemodialysis[J].J Ren Nutr,2013,23(6):432-437.
[4]Eftimovska-Otovic N,Stojceva-Taneva O,Grozdanovski R,et al.Clinical effects of standard and individualized dialysate sodium in patients on maintenance hemodialysis[J].Open Access Maced J Med Sci,2016,4(2):248-252.
[5]Bruzda-Zwiech A,Szczepanska J,Zwiech R.Sodium gradient,xerostomia,thirst and interdialytic excessive weight gain:a possible relationship with hyposalivation in patients on maintenance hemodialysis[J].Int Urol Nephrol,2014,46(7):1411-1417.
[6]于大君,刘涛,肖瑜,等.维持性血液透析患者口腔干燥症调查及与临床因素的相关分析[J].军事医学,2015,39(9):729-731.
[7]Swapna LA,Reddy RS,Ramesh T,et al.Oral health status in haemodialysis patients[J].J Clin Diagn Res,2013,7(9):2047-2050.
[8]王潘,唐春苑,叶晓青,等.维持性血液透析患者口渴感及其影响因素的研究进展[J].中国血液净化,2017,16(5):326-328.
[9]高云,周英.维持性血液透析患者症状困扰的现况调查[J].现代预防医学,2014,41(15):2872-2874.
[10]Marques PL,Libório AB,Saintrain MV.Hemodialysis-specific factors associated with salivary flow rates[J].Artif Organs,2015,39(2):181-186.
[11]李雪,孙晓晶.维持性血液透析患者自我感受负担及相关因素分析[D].锦州医科大学,2016,30(4):258-263.
[12]Dumitrescu AL,Kawamura M.Involvement of psychosocial factors in the association of obesity with periodontitis[J].J Oral Sci,2010,52(1):115-124.
[13]王密密,杜志红,龚晓玲,等.绵阳市公立综合医院临床护士护理伦理决策能力现状及影响因素[J].职业与健康,2018,34(22):3071-3074.
[14]Buda LV.Ensuring maintenance of oral hygiene in persons with special needs[J].Dent Clin North Am,2016,60(3):593-604.
[15]李亭亭,樊蓉,吕桂兰.维持性血液透析患者家庭照顾者负担现状及影响因素分析[J].中国血液净化,2017,16(3):179-182.
[16]彭静,张武丽,张静,等.人际和谐理论视角下医患关系的研究[J].中国医学伦理学,2016,29(3):387-388.
[17]Bellomo G,Coccetta P,Pasticci F,et al.The effect of psychological intervention on thirst and interdialytic weight gain in patients on chronic hemodialysis:a randomized controlled trial[J].J Ren Nutr,2015,25(5):426-432.