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題名:腎臟移植的醫療照護現況
書刊名:護理雜誌
作者:周桂君李明哲
作者(外文):Chou, Kuei-chunLee, Ming-che
出版日期:2014
卷期:61:4
頁次:頁15-20
主題關鍵詞:腎臟移植醫療照護免疫抑制劑排斥反應移植術後併發症Kidney transplantationHealthcare managementImmunosuppressionRejectionPost-transplant complications
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:0
  • 點閱點閱:6
腎臟移植乃是以手術方式來治療末期腎臟疾病,由於醫療技術的進步、免疫抑制劑及移植免疫學日新月異的發展,使許多病患能於移植術後立即重獲腎臟功能並改善生活品質。而腎臟移植術後病患需透過與移植醫護團隊的密切配合,終生接受規則的追蹤與治療,才能確保良好之移植器官功能,進而提升其生活品質。站在醫護團隊照護層面的角度而言,如何教導病患自我健康管理與提昇自我照護能力,實為重要課題。故本文的主要目的乃為陳述目前腎臟移植的醫療照護現況,期望促進臨床醫護人員對此議題更深入之瞭解,進而教育腎臟移植病患自主管理其健康行為,以適時預防與減少併發症發生、達到提昇自我照護品質的目的。
Kidney transplantation is one strategy for treating end-stage renal disease. Recent advances in perioperative management and immunosuppressive agents as well as improved understanding of transplant immunology have improved the post-surgery quality of life of kidney recipients dramatically. However, lifelong monitoring of renal functions and potential complications is essential to ensure optimal medical outcomes. Furthermore, the self-care competency of transplant recipients is a significant factor affecting survival of the graft and the patient over the long term. All kidney transplant recipients should comply with the self-care instructions provided by transplantation medical personnel and work to improve their self-care abilities in order to prevent / detect post-transplant complications such as rejection, infection, and medical comorbidities as early as possible. The purpose of this study is to explore the current management and care issues faced by kidney transplant recipients.
期刊論文
1.李建瑩、賴永融、施宏哲(20110300)。免疫抑制劑簡介。藥學雜誌,27(1)=106,70-74。  延伸查詢new window
2.邱屏人(2012)。腎臟病患照護計畫,降低洗腎發生率。全民健康保險雙月刊,95,4-7。  延伸查詢new window
3.Chisholm, M. A.(2002)。Issues of adherence to immunosuppressant therapy after solid-organ transplantation。Drugs,62(4),567-575。  new window
4.Hansen, R.、Seifeldin, R.、Noe, L.(2007)。Medication adherence in chronic disease: Issues in posttransplant immunosuppression。Transplantation Proceedings,39(5),1287-1300。  new window
5.Howard, K、Salkeld, G.、White S.、Mcdonald, S.、Chadban, S.、Craig, J. C.、Cass, A.(2009)。The cost-effectiveness of increasing kidney transplantation and home-based dialysis。Nephrology,14(1),123-132。  new window
6.Kasiske, B. L.、Zeier, M. G.、Chapman, J. R.、Craig, J. C.、Ekberg, H.、Garvey, C. A.、Balk, E. M.(2010)。KDIGO (Kidney Disease: Improving Global Outcomes) clinical practice guideline for the care of kidney transplant recipients: A summary。Kidney International,77(4),299-311。  new window
7.Morrissey, P. E.、Flynn, M. L.、Lin, S.(2007)。Medication noncompliance and its implications in transplant recipients。Drugs,67(10),1463-1481。  new window
8.Lin, Y. H.、Yang, M. S.(2007)。A cross-sectional survey of the symptom experience of kidney transplant recipients。International Journal of Nursing Studies,44(6),953-960。  new window
圖書
1.王水深、周迺寬(2014)。器官移植:發現問題.尋求解答。台北市:合記圖書。  延伸查詢new window
2.Linda, O.、Sandra, A. C.(2004)。Core curriculum for transplantation nurses。Washington, DC:Mosby。  new window
3.Sabaté, E.(2003)。Adherence to long-term therapies: Evidence for action。Geneva, Switzerland:World Health Organization。  new window
其他
1.中央健康保險署(2012)。101 年全民健康保險總額支付制度協商參考指標要覽,http://www.mohw.gov.tw/MOHW_Upload/doc/101%E5%B9%B4%E5%BA%A6%E5%85%A8%E6%B0%91%E5%81%A5%E5%BA%B7%E4%BF%9D%E9%9A%AA%E7%B8%BD%E9%A1%8D%E6%94%AF%E4%BB%98%E5%88%B6%E5%BA%A6%E5%8D%94%E5%95%86%E5%8F%83%E8%80%83%E6%8C%87%E6%A8%99%E8%A6%81%E8%A6%BD_0029876002.pdf。  new window
2.財團法人器官捐贈移植登錄中心(2013)。各醫院之器官勸募數及移植術後存活率,http://www.torsc.org.tw/transplant/transplant_01.jsp#。  延伸查詢new window
3.財團法人器官捐贈移植登錄中心(2014)。衛生福利部核准之移植醫院,http://www.torsc.org.tw/transplant/transplant_10.jsp。  延伸查詢new window
4.Bentley, T. S.,Hanson, S. G.,Hauboldt, R. H.(2011)。Milliman research report. 2011 U.S. organ and tissue transplant cost estimates and discussion,http://publications.milliman.com/research/health-rr/pdfs/2011-usorgan-tissue.pdf。  new window
5.Collins, B. H.(2013)。Renal transplantation,http://emedicine.medscape.com/article/430128-overview。  new window
6.Issa, N.,Braun, W. E.(2010)。Immunosuppression for renal transplant patients and common medical problems in renal transplantation,http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/nephrology/immunosuppression-and-renal-transplant/#cesummary。  new window
7.Kaufman, D. B.(2013)。Assessment and management of the renal transplant patient,http://emedicine.medscape.com/article/429314-overview#aw2aab6b2。  new window
8.The Australia and New Zealand Dialysis and Transplant Registry(2012)。The 35th annual ANZDATA report,http://www.anzdata.org.au/anzdata/AnzdataReport/35thReport/2012c08_transplants_v1.5.pdf。  new window
9.The Organ Procurement and Transplantation Network and Scientific Registry of Transplant Recipients(2010)。OPTN / SRTR 2010 annual data report,http://srtr.transplant.hrsa.gov/annual_reports/2010/。  new window
 
 
 
 
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