在西班牙和葡萄牙的家庭机械通风实践
Antonio Antón1, Salvador Díaz Lobato2, Maria José Guimarães3
1Hospital Santa Creu I Sant Pau, Barcelona, Spain.
Open respiratory archives
|July 27, 2023
概括
在西班牙和葡萄牙之间,家庭机械通风的做法有很大差异,这凸显了有针对性的教育的需要. 了解这些临床变异可以确保HMV的最佳患者管理.
科学领域:
- 肺部病理学 肺部病理学
- 医疗技术 医疗技术 医学技术
- 医疗保健管理的管理
背景情况:
- 家庭机械通风 (HMV) 实践随着新的证据和技术的发展而发展.
- 在HMV实施和患者护理方面存在显著的国际差异.
- 本研究涉及了解西班牙和葡萄牙当前HMV实践的必要性.
研究的目的:
- 调查和比较目前在西班牙和葡萄牙的家庭机械通风 (HMV) 的使用和实践.
- 识别非侵入性通风 (NIV) 护理结构,患者个人资料和管理策略的差异.
- 根据医疗保健专业人士的见解,探索HMV未来的潜在改进.
主要方法:
- 在线调查问卷分发给了94名参与HMV的医疗保健专业人员.
- 该调查包括40个项目,涵盖人口统计,NIV结构,患者个人资料,工作习惯和未来的实践改进.
- 回答率达到了70%,完成了66份问卷 (36份来自西班牙,30份来自葡萄牙).
主要成果:
- 在NIV单元的可用性 (西班牙100%与葡萄牙63%),以及HMV (西班牙的神经肌肉疾病与葡萄牙阻塞性疾病) 的初级适用性方面观察到显著差异.
- 对HMV管理的责任各不相同,在葡萄牙,家庭护理提供者 (HCP) 参与更多.
- 与西班牙 (3%) 相比,葡萄牙 (20%) 的远程监控使用率更高,随访实践明显不同.
结论:
- 尽管西班牙和葡萄牙地理位置相邻,但在HMV管理方面存在重大差异.
- 了解这些临床实践变异对于制定有针对性的教育和培训计划至关重要.
- 优化HMV需要专注于识别新的患者群体,并通过表型化个性化治疗.
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