护理点超声波:新的地区重点
Louw Fourie1, Michael K Pather, Gavin Hendricks
1Division of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town. louw1fourie@gmail.com.
概括
南非医生需要一个本地化的护理点超声波 (POCUS) 课程. 确定的关键模块包括头三个月的怀孕,DVT和艾滋病毒/结核病评估,这对于地区医院实践至关重要.
科学领域:
- 医学教育 医学教育
- 照顾点超声波 (POCUS) 超声波 (POCUS) 超声波是指照顾点的超声波.
- 全球健康 全球健康
背景情况:
- 护理点超声波 (POCUS) 显著提高了患者的治疗结果.
- 目前南非的POCUS课程基于英国的指导方针,不反映当地疾病负担或资源.
- 调整POCUS培训对于在不同环境中有效提供医疗保健至关重要.
研究的目的:
- 为南非西海岸地区 (WCD) 的医生确定必要的护理点超声波 (POCUS) 模块.
- 根据当地医疗保健需求和资源可用性,根据POCUS课程开发量身定制.
- 提高地区医院一级的诊断能力.
主要方法:
- 在WCD的六个地区医院进行了一项描述性的横截面调查.
- 医疗经理和医疗从业人员使用问卷来评估POCUS模块的相关性.
- 响应率很高,医疗从业人员的响应率为78.9%,医疗管理人员的响应率为100%.
主要成果:
- 医疗从业者认为特定的POCUS模块与他们的日常实践高度相关.
- 评级最高的模块包括头三个月的怀孕,深静脉血栓,以及在创伤中使用超声波进行扩展的集中评估.
- 以超声波检测艾滋病毒和结核病 (FASH) 的专注评估也被列为优先事项.
结论:
- 迫切需要一个针对南非本地疾病模式的POCUS课程.
- 根据当地疾病负担和临床相关性确定了优先的POCUS模块.
- 尽管有机器可用,但POCUS认证和独立实践水平较低,需要为医疗保健专业人员提供有针对性的培训计划.
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