中国血液净化

中国血液净化 ›› 2026, Vol. 25 ›› Issue (05): 420-423.doi: 10.3969/j.issn.1671-4091.2026.05.012

• 综述 • 上一篇    下一篇

围透析期慢性肾脏病患者决策辅助工具的研究进展

刘 媛    万丽红   王饶萍     温穗溱     王路英   

  1. 510000 广州，1中山大学附属第一医院肾内科血净中心
    510000 广州，2中山大学护理学院
  • 收稿日期:2025-06-26 修回日期:2026-01-18 出版日期:2026-05-12 发布日期:2026-05-12
  • 通讯作者: 万丽红 E-mail:wanlh@mail.sysu.edu.cn

Research progress on decision-making aids for patients with chronic kidney disease in the peridialysis period

LIU Yuan, WAN Li-hong, WANG Rao-ping, WEN Sui-qin, WANG Lu-ying   

  1. Department of Nephrology, Blood Purification Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510000, China; ²School of Nursing, Sun Yat-sen University, Guangzhou 510000, China
  • Received:2025-06-26 Revised:2026-01-18 Online:2026-05-12 Published:2026-05-12
  • Contact: 510000 广州，2中山大学护理学院 E-mail:wanlh@mail.sysu.edu.cn

摘要： 围透析期慢性肾脏病患者治疗方式的选择涉及多重复杂决策，患者常面临知识匮乏与决策冲突等困境。患者决策辅助工具(patient decision-making aids,PDA）的使用可协助其积极参与治疗决策，做出符合自身偏好的重要抉择，实现与医护人员共享决策的目的。本文通过综述围透析期慢性肾脏病患者决策辅助工具的类型及应用现状，旨在为围透析期慢性肾脏病患者共享决策的推进及开发我国本土化的决策辅助工具提供参考。

关键词: 围透析期慢性肾脏病, 患者决策辅助工具, 共享决策

Abstract: The choice of treatment mode for patients with chronic kidney disease (CKD) during the peridialysis period involves multiple complex decisions, and patients often face difficulties such as lack of knowledge and decision-making conflicts. The use of patient decision-making aids (PDA) can assist them in actively participating in treatment decisions, making important choices suitable for their own preferences and achieving the goal of sharing decisions with medical staff. This article reviews the types and current application status of PDA for CKD patients during peridialysis period, aiming to provide a reference for promoting shared decision-making among CKD patients during peridialysis period and developing our own decision-making aids in China.

Key words: Chronic kidney disease in peridialysis period, Patient decision-making aid, Shared decision-making

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