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北京中医药大学东方医院 肾病科, 北京, 100078
邓建华, E-mail: dengjianhua1982@163.com
收稿日期:2025-05-28,
录用日期:2025-06-27,
网络出版日期:2025-07-31,
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LI Yuxin, HU Fangfang, LI Mengya, et al. Nursing Report of a Maintenance Hemodialysis Patient with Star Fruit Intoxication-Induced Metabolic Encephalopathy Managed Under the Comprehensive Chain Care "1+1" Model[DB/OL].Clinical archives of integrative medicine, 2025.
李玉欣, 胡芳芳, 李梦雅, 等. 全链条照护“1+1”模式下1例维持性血液透析患者杨桃中毒导致代谢性脑病的护理报告[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202505280007.
LI Yuxin, HU Fangfang, LI Mengya, et al. Nursing Report of a Maintenance Hemodialysis Patient with Star Fruit Intoxication-Induced Metabolic Encephalopathy Managed Under the Comprehensive Chain Care "1+1" Model[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202505280007.
维持性血液透析患者杨桃中毒导致代谢性脑病,患者意识障碍,缺乏自我照护能力,生活质量难以得到保障,通过全链条照护“1+1”模式下的全称管理,对患者进行专业化护理,以提高患者生活质量。本文针对1例慢肾衰尿毒症维持血液透析杨桃中毒患者,进行“医生+护士”一体化查房,制定治疗及护理方案;“门诊透析室+病房”一体化管理,门诊透析室关注患者透析指标,病房护理实施多维度健康宣教及延续护理服务。通过“1+1”个性化管理模式,对患者提供专业精细的护理服务,患者病情得到改善,生活质量得到提高。
Maintenance hemodialysis patients suffered from rambutan poisoning, which led to metabolic encephalopathy. The patients experienced impaired consciousness and lacked self-care ability, making it difficult to ensure their quality of life. Through the full-chain care "1+1" model and comprehensive management, professional care was provided to the patients to improve their quality of life. This article focuses on a case of a patient with chronic renal failure and uremia undergoing maintenance hemodialysis who suffered from rambutan poisoning. An integrated ward-round by "doctor + nurse" was conducted, and treatment and nursing plans were formulated. The "outpatient dialysis room + ward" integrated management was implemented, with the outpatient dialysis room focusing on the patient's dialysis indicators, and the ward nursing implementing multi-dimensional health education and continuing care services. Through the "1+1" personalized management model, professional and meticulous nursing services were provided to the patients, resulting in improved patient conditions and enhanced quality of life.
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