根据名义组技术开发的低收入和中等收入国家的淋巴 edem 护理的实践点
Eric Torgbenu1, Tim Luckett2, Mark Buhagiar2,3
1IMPACCT (Improving Palliative, Aged and Chronic Care Through Clinical Research and Translation), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia. eric.l.torgbenu@student.uts.edu.au.
BMC health services research
|July 8, 2023
概括
低收入和中等收入国家 (LMIC) 淋巴 edem 护理的实践要点是使用基于共识的方法开发的. 关键建议包括复杂脱血疗法 (CDT) 和皮肤护理,适应资源有限的环境.
科学领域:
- 全球健康 全球健康
- 热带医学 热带医学
- 临床实践指南 临床实践指南
背景情况:
- 淋巴 edemma 影响全球超过2亿人,在低资源环境中提出重大挑战.
- 对于高收入国家 (HIC) 的现有指导方针在低收入和中等收入国家 (LMIC) 往往缺乏可行性.
研究的目的:
- 为医疗保健工作者制定实际建议,以优化LMIC中淋巴 edem管理.
- 为资源有限的环境适应现有的淋巴 edem 护理策略.
主要方法:
- 使用名义小组技术 (NGT),涉及LMIC的专家,临床医生和志愿者.
- 通过通过电子邮件和视频会议进行的创意产生,理由澄清,改进和验证阶段建立共识.
- 该NGT的重点是调整HIC指导方针,并确定为LMIC淋巴护理的基本建议.
主要成果:
- 综合脱血疗法 (CDT) 和勤奋的皮肤护理被一致认为是淋巴 edem 管理的重要组成部分.
- 管理策略应根据淋巴瘤的阶段进行量身定制.
- 在流行病地区预防非流动性淋巴结胀强调了子和鞋子的重要性.
- 由于成本和可用性,先进的诊断工具 (淋巴切片,ICG) 和手术干预被认为是LMIC不可行的.
结论:
- 基于共识的实践要点为医疗保健工作者提供了关键的指导,以管理LMIC的淋巴 edem.
- 有一个公认的需要进一步发展的医疗保健工作人员能力在LMIC为淋巴 edem 护理.
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