在加纳巴托尔的一项子宫癌查计划中,受过培训的护士进行移动大肠镜检查
Kofi Effah1, Mawusi C Wormenor1, Ethel Tekpor1
1Catholic Hospital, Battor, Ghana.
Ghana medical journal
|July 14, 2023
概括
将任务转移到训练有素的护士手中,使得在资源乏的环境中能够有效地进行宫癌前查和治疗计划. 这种方法克服了人力资源的局限性,改善了女性的可访问性和结果.
科学领域:
- 公共卫生 公共卫生
- 妇科 妇科医生 妇科
- 医疗保健管理的管理
背景情况:
- 在资源有限的环境中建立子宫癌前查计划是具有挑战性的,因为人力资源有限.
- 将任务转移给训练有素的护士是克服这些局限性的潜在策略.
研究的目的:
- 评估子宫癌前查和治疗计划的可行性和有效性,由经过培训的护士在资源有限的环境中实施.
- 为了证明任务转移在宫癌预防中的有用性.
主要方法:
- 进行了一项描述性的回顾性横截面审查.
- 四名护士接受了至少为期两周的基本肠镜检查和EVA系统培训.
- 接受过培训的护士进行了查和后续程序,通过图像共享和与妇科医生咨询进行了质量保证.
主要成果:
- 总共有904名妇女接受了训练有素的护士的查.
- 在接受查的女性中,14.5% (130/904) 患有宫病变,2.8% (25/904) 接受治疗.
- 治疗包括循环电外科切除程序 (LEEP),热凝固和冷疗法,训练有素的护士执行大部分热凝固和所有冷疗法治疗.
结论:
- 经过基本镜培训的护士可以成功实施子宫癌前查和治疗计划.
- 将任务转移给护士是一个可行的模式,可以在资源有限的环境中扩大宫癌预防服务.
- 这种方法证明了改善获得基本妇女健康服务的潜力.
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