Dialysis treatment has evolved to enable children to live longer and transition to adulthood. Thus, the focus of care shifts to a consideration of pediatric patients' quality of life and psychosocial functioning across childhood, adolescence, and young adulthood. Despite well-documented concerns in various domains (including depression/anxiety, self-esteem and social functioning, behavior problems, and academic and cognitive functioning), limited literature exists regarding psychosocial guidelines for children and adolescents undergoing dialysis. This article aims to address this gap by providing a review of the pediatric literature examining psychosocial functioning in patients treated with dialysis, as well as recommendations for specific psychosocial concerns. Overall recommendations for care include screening for anxiety and depression, referral to pediatric psychologists for evidence-based intervention, utilization of child life specialists, opportunities to promote social functioning, neuropsychological evaluation and school programming, ongoing support in preparing for transition to adult care, and periodic measure of quality of life. Together, these suggestions promote a holistic approach to patient-centered care by supporting both physical and psychosocial well-being.

中文翻译：

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透析儿童护理的社会心理考虑和建议。

透析治疗已经发展到能够使儿童寿命更长并过渡到成年。因此，护理的重点转移到了儿童期，青少年期和成年期患者的生活质量和社会心理功能的考虑上。尽管在各个领域（包括抑郁症/焦虑症，自尊和社交功能，行为问题以及学术和认知功能）中的文献记载备受关注，但有关接受透析的儿童和青少年的心理社会指导方针的文献有限。本文旨在通过审查检查透析患者的社会心理功能的儿科文献以及针对特定社会心理问题的建议，来解决这一差距。总体护理建议包括筛查焦虑和抑郁，推荐给儿科心理学家进行循证干预，利用儿童生活专家，促进社会功能的机会，神经心理学评估和学校规划，为过渡到成人护理做准备的持续支持以及定期评估生活质量。这些建议共同支持身体和心理社会福祉，从而促进了以患者为中心的整体护理方法。