为患有慢性病风险的拉丁人提供医疗护理:试点干预
Tessa K Novick1,2, Francisco Barrios2, Michelle Osuna2
1Division of Nephrology, University of Texas at Austin, Dell Medical School, Austin, TX.
Kidney medicine
|July 31, 2023
概括
社区卫生工作者干预表明,将拉丁人与病风险因素连接到医疗保健是有前途的. 该计划对参与者来说是可以接受的,尽管确定了可行性挑战.
科学领域:
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學.
- 健康差异 在健康上的差异
背景情况:
- 拉丁裔人面临更高的功能衰竭率,但在功能衰竭前接受的护理较少.
- 社区查发现拉丁美洲成年人患有病风险因素或白尿.
研究的目的:
- 确定社区卫生工作者 (CHW) 干预的可行性和可接受性.
- 为了促进拉丁人患病风险的个人获得医疗护理.
主要方法:
- 在德克萨斯州奥斯进行了为期6个月的CHW干预试点.
- 干预组件包括保险收购,护理协调,病教育和资源连接.
- 研究设计是单臂前性研究.
主要成果:
- 49名拉丁裔成年人参与了这项干预,其中41%完成了干预.
- 57%的人完成了至少一个CHW访问.
- 7名参与者获得了保险,75%的参与者安排了初级保健预约.
结论:
- 该CHW干预在参与者中表现出了可接受性.
- 发现了可行性挑战,并确定了克服这些挑战的策略.
- 需要进一步的研究来评估CHW干预措施对脏健康结果和差异的影响.
相关概念视频
Chronic Kidney Disease III: Interprofessional Care
42
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
42
Chronic Kidney Disease IV: Nursing Management
25
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
25
Chronic Kidney Disease I: Introduction
36
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage kidney disease (ESKD). At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate...
36
Kidney Transplant III: Nursing Management
39
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
39
Acute Kidney Injury V: Interprofessional Care
25
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
25
Chronic Kidney Disease II: Clinical Manifestations
30
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
30


