关键护理和成年人严重疾病的全球负担
Neill K J Adhikari1, Robert A Fowler, Satish Bhagwanjee
1Interdepartmental Division of Critical Care, University of Toronto and Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Lancet (London, England)
|October 12, 2010
概括
关键护理已经发展到全球治疗重病患者. 未来的努力必须通过测量需求和开发可扩展的干预措施,应对日益严重的疾病负担,特别是在老龄化人口和发展中国家.
科学领域:
- 关键护理医学 关键护理医学
- 全球健康 全球健康
- 公共卫生 公共卫生
背景情况:
- 临床护理已经超越了重症监护室的范围,不论位置,都包括重病患者的管理.
- 人口研究表明,严重疾病的负担很大,而且越来越大,特别是在老年人群中.
- 在发展中国家,人们认识到对重症监护能力的需求日益增加.
研究的目的:
- 突出重症监护的演变和扩大范围.
- 为了强调全球严重疾病负担的日益增加.
- 确定关键护理的挑战和未来的研究方向.
主要方法:
- 对重症监护的演变进行回顾.
- 基于人口的研究对重症负担的分析.
- 讨论在重症监护扩张中的资源需求和挑战.
主要成果:
- 危急疾病影响的人数比以前想象的要多,随着人口老龄化,这种趋势将会增加.
- 发展中国家的重症监护服务不足.
- 扩大重症监护面临经济挑战.
结论:
- 关键护理必须适应日益增长的全球需求,包括人口老龄化和资源有限的环境.
- 衡量全球严重疾病负担和可用的资源至关重要.
- 开发普遍适用的预防和治疗干预措施对于重症监护的未来至关重要.
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