皮炎是一个人口健康问题:实施和改善当代护理策略的教训和差距
Stephanie Lee Stovall1, Jennifer A Kaplan1, Joanna K Law2
1Department of Surgery, Virginia Mason Franciscan Health, Seattle, WA 98101, United States.
皮炎的护理正在转向门诊治疗,但住院和手术正在增加. 本综述探讨了指导方针与实践之间的差距,并提出了人口层面的策略,以改善膜炎患者的护理.
科学领域:
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
- 在外科手术实践中.
背景情况:
- 椎炎在住院和门诊环境中呈现出显著且不断增加的疾病负担.
- 传统的治疗包括常规的住院治疗,静脉注射抗生素和频繁的手术,而现在这些手术受到挑战.
- 最近的临床实践指南 (CPG) 倡导对急性和复发性分泌体炎进行门诊治疗和个性化手术决策.
研究的目的:
- 分析当代研究/CPG与当前现实世界椎炎管理之间的差异.
- 鉴别出因分泌炎住院和手术率不断增加的原因,尽管指导方针不断变化.
- 提出人口层面的战略,以实施和改进角炎护理.
主要方法:
- 审查最近的研究和临床实践指南关于分泌炎管理.
- 分析美国白炎住院率和手术率的趋势.
- 在人口层面评估护理服务的概念框架.
主要成果:
- 尽管最新的CPG建议采用不那么侵袭的方法,但美国的分泌体炎住院和手术正在增加.
- 在基于证据的建议和实际的临床实践之间存在差距.
- 当前的护理模式可能无法有效地转化为改善人口水平的结果.
结论:
- 迫切需要弥合推的分炎护理标准与当前实践之间的差距.
- 人口层面的策略是必要的,以了解和解决分泌炎住院和手术的上升率.
- 实施更新的指导方针和改善护理服务对于更好地管理节性疾病的频谱至关重要.
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