中国血液净化 ›› 2025, Vol. 24 ›› Issue (01): 1-12.doi: 10.3969/j.issn.1671-4091.2025.01.001

• 指南与共识 •    下一篇

指导肾性贫血患者自我管理的中国专家共识(2024版)

指导肾性贫血患者自我管理的中国专家共识工作组   

  1. 中关村肾病血液净化创新联盟
  • 收稿日期:2024-08-15 修回日期:2024-09-25 出版日期:2025-01-12 发布日期:2025-01-12
  • 通讯作者: 左力 E-mail:ZuoLi@bjmu.edu.cn

Chinese expert consensus on guiding self-management for patients with renal anemia (2024)

Work Group for Chinese Expert Consensus on Guiding Self-Management for Patients with Renal Anemia   

  1. Zhongguancun nephrology & blood purification innovation alliance
  • Received:2024-08-15 Revised:2024-09-25 Online:2025-01-12 Published:2025-01-12
  • Contact: 100044 北京,北京大学人民医院肾内科 E-mail:ZuoLi@bjmu.edu.cn

摘要: 肾性贫血是慢性肾脏病的常见并发症,不仅严重影响患者生活质量,还会显著增加心血管事件发生及死亡的风险。肾性贫血患者自我管理水平与治疗效果、预后息息相关,目前尚缺乏相关规范化指导。本共识面向指导肾性贫血患者进行自我管理的医护人员,由肾脏病、血液净化、护理学、运动康复、药学、心理学、公共卫生专家共同编写,结合最新循证医学证据及临床经验,为医护人员指导肾性贫血患者进行自我管理提供依据。共识内容包括为患者评估并建立必备的知识储备、及时就诊及随访、合理用药、生活方式指导、监测并避免加重因素、医患共同决策和自我管理评估,多维度系统规范化指导肾性贫血患者自我管理。旨在进一步提高患者自我管理水平,提升我国肾性贫血达标率,改善患者预后。

关键词: 肾性贫血, 患者自我管理, 慢性肾脏病, 医患共同决策

Abstract: Renal anemia is a common complication of chronic kidney disease (CKD), which not only seriously affects the life quality of CKD patients, but also significantly increases the risk of cardiovascular events and death. Self-management of patients with renal anemia obviously affects the treatment outcome and prognosis of the patients. At present, there is still a lack of standardized guidance for patients' self-management. The target of this consensus is for the medical staff to guide the self-management of patients with renal anemia. It is jointly written by experts in nephrology, blood purification, nursing, hematology, pharmacy, and public health, and supplies the latest evidence-based medicine and clinical experience for medical staff to guide patients with renal anemia holding self-management. The consensus content includes assessing and establishing necessary knowledge reserves for patients, consultation and follow up on time, rational drug use, lifestyle guidance, monitoring and avoiding aggravating factors, shared decision making and self-management evaluation. Multi-dimensional standardization guidance is provided for self-management of patients with renal anemia, aiming to further improve their self-management level, enhance the compliance rate of renal anemia in China, and improve prognosis.

Key words: Renal anemia, Patient self-management, Chronic kidney disease, Shared decision making

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