血液透析室(中心)肾脏病康复体系建设的专家共识.pdfVIP

血液透析室(中心)肾脏病康复体系建设的专家共识 中国康复医学会肾脏病康复专业委员会1中关村肾病血液净化创新联盟肾康复专业委员会2 中国医师协会康复医师分会肾康复治疗专业委员会3 【摘要】维持性血液透析(maintenance hemodialysis ，删D)患者伴随着透析龄的延长，将会出现不同 程度的生理功能下降、心理及认知功能障碍，严重影响了MHD患者的生活质量(quality of life，QOL) ， 大大增加了家庭及社会负担。解决MHD患者功能障碍的主要策略就是实施肾脏病康复(renal rehabil— itation，RR) ，使MHD患者达到最佳的职业潜能、功能状态及生活质量。然而，目前我国血液透析室(中 心)的RR 尚处于起步阶段，尚未得到广泛开展。本共识围绕RR 的定义、血液透析室(中心)RR体系建设的 人员、场地、设备需求、RR 的服务内容、质量控制体系等内容进行了详细的阐述，旨在为血液透析室(中 心)的RR体系建设提供理论依据和临床指导。 【关键词】血液透析；肾脏病康复；体系建设 中图分类号：R49 文献标识码：A doi：10．3969 ／j．issn．1671—4091 ．2021．12．008 Expert consensus on construction of the renal rehabilitation system in hemodialysis centers。Renal Re ‘ habilitation Committee ofChinese Rehabilitation Medicine Association ．Beijing 10001氲China ；2Renal Reha- bilitation Committee of Zhong-guan-cun Nephrology ＆Blood Purification InnovatfDn Allianc 己Be#ing 10019D’China ；JRenal Rehabilitation Committee ．Rehabilitation Pbsician Branch ofChinese Medical Doc- tar Association ，Beijing 100101，China Corresponding author：MA Ying-chun ，Email ：mych323@163 ．cam [Abstract]Maintenance hemodialysis(MHD)patients are usually present with decreased physical abili- ties and abnormal psychological and cognitive functions of various degrees along with the extension of dialy— sis age，seriously affecting the quality of life and greatly raising the burdens on the families and society．The implementation of the renal rehabilitation system is a major strategy to minimize the dysfunctions and enables MHD patients to achieve the best occupational potentials ，functional status and quality of life．However,the renal rehabilitation system set in hemodialysis centers is currently at the primary stage and has not been wide— ly launched yet ．This expert consensus elaborates on the definition of renal rehabilitation and the required per- sonnel，place ，equip