撒哈拉以南非洲地区的息护理
Richard Harding1, Irene J Higginson
1Department of Palliative Care and Policy, Guy's King's & St Thomas' School of Medicine, King's College London, Weston Education Centre, Cutcombe Road, London SE5 9PJ, UK. Richard.harding@kcl.ac.uk
Lancet (London, England)
|June 7, 2005
概括
撒哈拉以南非洲地区的息护理对艾滋病毒和癌症患者至关重要,但在资源和可访问性方面面临挑战. 提高社区能力,阿片类药物可用性和综合护理框架对于高质量的终身服务至关重要.
科学领域:
- 全球健康 全球健康
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 在撒哈拉以南非洲地区,高质量的艾滋病毒和癌症治疗需要有效的疼痛和症状管理,包括终端护理.
- 在该地区开发可行,可访问和有效的息护理服务面临重大挑战.
- 非洲现有的息护理模式包含资源密集的组件,需要仔细考虑可持续性.
研究的目的:
- 探索撒哈拉以南非洲地区可行,可访问和有效的息护理的组成部分.
- 确定在开发和实施息护理服务方面的挑战和改进领域.
- 为加强在现有医疗保健系统中的息护理整合提供建议.
主要方法:
- 审查撒哈拉以南非洲地区现有的息护理实践和挑战.
- 分析家庭和社区护理模式及其局限性.
- 确定关键限制因素,如资源可用性,社区能力和阿片类药物获取.
主要成果:
- 家庭和社区的息护理模式显示出希望,但缺乏足够的社区能力和临床监督.
- 简单的平民和专业协议的开发正在进行中,但阿片类药物的可用性仍然是一个关键障碍.
- 成功的关键领域包括解决社区需求,在整个疾病轨迹中整合息护理,加强教育和加强转诊系统.
结论:
- 加强撒哈拉以南非洲地区的息护理需要关注社区能力,综合服务框架和改善阿片类药物的可用性.
- 加强教育,多样化推系统,增加宣传,以及强有力的审计/质量评估对于可持续的,高质量的息护理至关重要.
- 解决资源局限性和确保适当的临床监督对于息护理服务的成功扩张至关重要.
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