在卢旺达布雷拉区评估非产科手术条件的社区调查的验证
Allison F Linden1, Rebecca Maine2, Bethany L Hedt-Gauthier3
1Georgetown University Hospital, Department of Surgery, Washington, DC, USA; Harvard Medical School, Department of Global Health and Social Medicine, Boston, MA, USA.
这项研究验证了卢旺达的社区手术监测工具,发现敏感度低,需要进行精确的手术规划. 改善社区教育和获得外科护理对于有效的卫生系统整合至关重要.
科学领域:
- 全球手术
- 公共卫生监测
- 加强卫生系统
背景情况:
- 基于社区的监测没有用于外科能力建设.
- 计划手术服务需要准确的数据未经治疗的手术可纠正的疾病.
研究的目的:
- 创建和评估收集卢旺达布雷拉地区未经治疗的手术可纠正疾病数据的问卷.
- 为了准确的外科服务规划.
主要方法:
- 基于经过验证的问卷,翻译和试点测试的结构化面试.
- 数据收集者采访了30个村庄的2990人,
- 医生检查是验证采访工具的黄金标准.
主要成果:
- 总体敏感度为44. 5%,特异性为97. 7%.
- 积极的预测值为70%,负的预测值为91.3%.
- 脑水和脚表现出高灵敏度 (100%) 和特异性 (分别为100%和99.8%),而受伤/伤口和/水经常被报告不足.
结论:
- 这是首次对基于社区的手术监测工具进行验证.
- 低灵敏度需要对工具进行修改,并质疑以前未经验证的调查数据.
- 为了更好的验证和卫生系统整合,需要社区教育和改善手术护理的机会.
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