OBJECTIVE:: Patients with chronic k

OBJECTIVE:: Patients with chronic kidney disease who receive early nephrology care have a better prognosis with maintenance dialysis. We aimed to determine whether early referral to a nephrologist can also improve the psychological burden of having chronic kidney disease. SUBJECTS AND METHODS:: Thirty‐nine patients with chronic kidney disease that required hemodialysis were studied: 19 had a ≥ 6-month history of nephrology care (Group1), and 20 had never received any prior nephrology care (Group2). All patients participated in a semi‐structured interview that addressed their perceived knowledge and psychological aspects related to CKD and hemodialysis. Demographic and laboratory data as well as socioeconomic status were evaluated. RESULTS:: In both groups, most of the patients were of low socioeconomic status. Group 1 had significantly better laboratory parameters (p

النتائج (الإنجليزية) 1:

OBJECTIVE:: Patients with chronic kidney disease who receive early nephrology care have a better prognosis with maintenance dialysis. We aimed to determine whether early referral to a nephrologist can also improve the psychological burden of having chronic kidney disease. SUBJECTS AND METHODS:: Thirty‐nine patients with chronic kidney disease that required hemodialysis were studie d: 19 had a ≥ 6-month history of nephrology care (Group1), and 20 had never received any prior nephrology care (Group2). All patients participated in a semi‐structured interview that addressed their perceived knowledge and psychological aspects related to CKD and hemodialysis. Demographic and laboratory data as well as socioeconomic status were evaluated. RESULTS:: In both groups, most of the patients were of low socioeconomic status. Group 1 had significantly better laboratory parameters (p< 0.05). The patients ' answers to the questions showed no differences between the groups: 63% of Group 1 and 55% of Group 2 reported that they had no prior knowledge about dialysis; 58% and 40%, respectively, reported that they don't completely understand what the doctor says "; and 74% and 85%, respectively, believed that their "kidneys would work again". CONCLUSION:: Pre‐dialysis nephrology care improves the clinical conditions of the patients with chronic kidney disease but is insufficient for minimizing other aspects of having chronic kidney disease.

النتائج (الإنجليزية) 3:

目的：慢性肾脏疾病患者接受早期肾脏病护理的患者与透析预后较好。我们的目的是确定是否早期转诊给肾脏科医生也可以提高患慢性肾脏疾病的心理负担。对象和方法：：三十‐九慢性肾脏疾病的患者，需要血液透析的研究：19有一个≥肾脏病治疗6个月的历史（1组），和20没有收到任何肾脏病护理（2）。所有患者参加了一个半结构化面试，‐解决他们的知识和心理的CKD和血液透析相关的方面。人口和实验室数据以及社会经济状况进行了评价。结果：两组，多数患者低社会经济地位。1组有显着更好的实验室参数（P＜0.05）。患者对问题的回答显示各组之间无显着差异：组1和组2 55% 63%报告说，他们对透析没有先验知识；分别为58%和40%，，说他们“不完全了解医生说”；74%和85%，分别，认为“肾会工作了”。结论：预‐透析的肾脏病护理能提高慢性肾脏病患者的临床条件，但不减少患慢性肾脏疾病的其它方面。