2019年のコロナウイルス病のパンデミックの影響 トラケオストミー手術後の小児患者のホームヘルスケアの利用可能性
Ferdinand Cacho1, Katherine A Carr2, Mariana Bedoya1
1Department of Pediatrics, Division of Pediatric Allergy, Immunology and Pulmonary Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Pediatric pulmonology
|September 5, 2025
まとめ
トラケオストミーの子どもたちのためのホームヘルスケア (HHN) 時間は,COVID-19以降大幅に減少しました. 医療提供の減少は 脆弱な小児患者とその家族に影響を及ぼします
科学分野:
- 小児保健医療
- 呼吸器医学
- 公衆衛生
背景:
- トラキオストミーの子供は 専門の家庭医療看護 (HHN) が必要です
- 限られたHHNの利用は 介護者の負担を増加させる.
- COVID-19のパンデミックは,これらの子供たちのためのHHNサービスに潜在的に影響を与えた.
研究 の 目的:
- COVID-19 パンデミック前後の小児気管切断患者のホームヘルスケア (HHN) の可用性を評価する.
- この集団における医療利用と死亡率の変化を評価する.
- 労働力シフトが 弱い立場の子供に与える影響を 理解する
主な方法:
- 小児気管切除患者の逆行図レビュー (2017年11月~2023年9月)
- 定義されたパンデミック期間は2020年3月15日から始まります.
- 人口統計,臨床,アウトカムデータを分析し,HHNの時間と病院での経験も含む.
主要な成果:
- 承認されたHHN時間の違いはなく,流行後のHHN時間の週数は著しく減少した (90h vs 50h).
- 承認されたHHN時間のパーセンテージは,COVID-19以降に大幅に減少した (63%対41%).
- パンデミック後,HHNのスタッフの時間のマイナスの傾向が観察され,病院での接触は減少しました.
結論:
- COVID-19以降は 小児呼吸器切除手術の スタッフによるHHNの時間が 大幅に減少しています
- 承認された時間は変わらないが 提供される時間は減り 介護に影響を及ぼしている.
- こうした労働力の移転を理解することは この脆弱な集団を支援するために 極めて重要です
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