気候変化が呼吸器系ケアに与える影響:広範囲の見直し
Jacqueline R Lewy1, Amani N Karim1, Christian L Lokotola2
1University of Michigan Medical School, Ann Arbor, MI, USA.
The journal of climate change and health
|September 2, 2025
まとめ
気候変動は呼吸器の健康を脅かしており 病院への訪問が増加しています 医療制度は適応する必要がありますが,経済とインフラへの影響に関する研究は依然として限られています.
科学分野:
- 環境 健康
- 公衆衛生
- 呼吸器医学
背景:
- 化石燃料の燃焼と気候変動は 呼吸器の健康に重大な脅威をもたらしています
- 気候変動による健康問題への対応には 医療制度の回復力を高める必要があります
- このスコーピングレビューでは,呼吸器ケアに対する気候変動の現在の影響について検討し,研究優先事項を特定しています.
研究 の 目的:
- 呼吸器医療への気候変動の影響に関する文献を包括的に検討する.
- 呼吸器の健康に影響を与える最も研究された気候と天候の曝露を特定する.
- 医療システムのレジリエンスと適応戦略に関する現在の研究におけるギャップを強調する.
主な方法:
- 複数のデータベース (Medline,Embase,Scopus,Cochrane Library,Lens.org,Google Scholar) で2023年7月28日まで科学およびグレーの文献を体系的に検索した.
- 関連情報を収集するために 機関ウェブサイトも調査した.
- 論文は,呼吸器のケアに対する気候変動の影響を考慮して選出された.
主要な成果:
- 1207件の初期記事のうち,67件が関連性があり,2020年から2023年の間に出版されたものの大多数は (74.6%) であった.
- 極端な暑さ (46.3%),粒子状物質 (32.8%),野火 (28.4%) が最も頻繁に研究された被曝でした.
- 呼吸器科の入院 (49.3%) と緊急診療 (35.8%) は,テレヘルス,施設のエネルギー,医薬品の供給に関する研究が限られている主なアウトカムでした.
結論:
- 気候変動により,呼吸器関連の緊急治療室への訪問や入院が増加すると予想されています.
- 気候変化が呼吸器医療に及ぼす影響と関連した経済的コスト,インフラ脆弱性,サプライチェーンの障害に関するさらなる研究が不可欠です.
- 気候変動や極端な天候現象に対する 呼吸器系ケアシステムの強化には 根拠に基づいた適応戦略の開発が不可欠です
関連する概念動画
01:19Respiratory Assessment: Purpose and Indications
1.2K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.2K
01:23Assessment of Respiration
1.3K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.3K
01:29Acute Respiratory Failure-V
203
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
203
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.2K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.2K
01:31Common Respiratory Disorders
898
Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
898
01:20Asthma: Pathogenesis and Management
576
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
576