音调管理:对加拿大当前管理实践的环境扫描
My-An Tran1, Madhura Thipse1, Anne Tsampalieros1
1Children's Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada.
Child: care, health and development
|September 2, 2023
概括
加拿大儿科康复中心对高血压的管理有着多种不同的方法. 这项研究强调了需要标准化的护理策略,以确保有声功能障碍的儿童获得公平的机会.
科学领域:
- 儿科康复儿童康复中心
- 神经学 神经学
- 临床实践变化 临床实践变化
背景情况:
- 在加拿大,对于声功能障碍,没有标准化的护理或评估协议.
- 在加拿大康复中心中,在治疗儿科高血压症方面存在显著的实践差异.
- 进行了环境扫描,在全国范围内绘制了儿科高血压管理的当前做法.
研究的目的:
- 描述加拿大儿科高血压管理的现状.
- 识别多学科团队使用的诊断和治疗方法的变化.
主要方法:
- 使用多学科方法开发了一个基于网络的调查.
- 该调查针对加拿大各省的代表性儿科康复中心.
- 十二个康复场所参与了最终分析,使用R统计软件分析数据.
主要成果:
- 大脑麻是与音调功能障碍相关的最常见的诊断.
- 大多数地点 (67%) 在正式的多学科诊所内管理高血压.
- 常见的治疗方法包括口服药物 (巴克洛芬, gabapentin, trihexyphenidyl),其中50%提供肉毒素注射,83%提供外科手术.
结论:
- 这项研究提供了对当前加拿大儿科高血压症的实践的关键见解.
- 结果可以为制定国家标准化的音调管理战略提供信息.
- 标准化可能会导致患者更公平地获得护理.
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