肯尼亚的重症监护病房的组织,人员和资源
Wambui Mwangi1,2, Ronnie Kaddu2,3, Carolyne Njoki Muiru2,4,5
1Department of Anesthesia and Intensive Care, Nyeri County Referral Hospital, Nyeri, Kenya.
这项研究调查了肯尼亚的重症监护病房,发现了既定的人员和基本资源. 在侵入性监测和血液气体分析仪功能方面需要改进.
科学领域:
- 医学研究 医学研究
- 卫生系统分析 卫生系统分析
- 关键护理医学 关键护理医学
背景情况:
- 肯尼亚的重症监护服务正在扩大,需要了解其当前的组织结构,人员和资源可用性.
- 在公共和私人医疗保健部门之间,重症监护服务的差异需要调查,以确定差异并为政策提供信息.
研究的目的:
- 确定肯尼亚重症监护单位的组织框架,人员配置模式和可用的资源.
- 检查和比较肯尼亚公共和私人医疗保健部门的重症监护单位特征.
主要方法:
- 进行了一项跨部门在线调查,收集有关重症监护单位组织,人员和资源的数据.
- 数据包括护理模式,单位类型,质量倡议,EMR使用,登记参与以及监控和通风设备的可用性.
主要成果:
- 该调查包括75个确定的单位中的60个 (80%的响应率),其中598个报告了重症监护病床,26%是非功能性的.
- 大多数单位都是一般的,利用开放的护理模式,麻醉师作为顾问.
- 虽然通风机很常见,但缺少高流量鼻腔治疗;基本监测广泛,但侵入性血压能力和风管学是有限的. 血液气体分析仪可用,但功能不同.
结论:
- 肯尼亚拥有成熟的重症监护网络,拥有足够的人员密度和基本的监测/通风资源.
- 公共部门和私营部门的重症监护规定与较小的差异相似.
- 改进的关键领域包括重症监护培训,侵入性血压监测的实施,以及改善血液气体分析仪的功能.
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