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在开始透析后,患有末期病的女性和男性的护理轨迹有所不同
Juliette Piveteau1, Maxime Raffray1, Cécile Couchoud2
1EHESP, CNRS, Inserm, Arènes-UMR 6051, RSMS-U1309, Univ Rennes, Rennes, France.
PloS one
|September 14, 2023
概括
这项研究发现,在开始透析后的第一年,医疗保健使用的性别差异很少. 与女性相比,男性因脏问题住院和通用医生访问的次数较少.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健研究 医疗保健研究
- 公共卫生 公共卫生
背景情况:
- 有限的研究存在于基于性别的差异在医疗保健消费后透析启动.
- 了解这些差异对于公平的患者护理和资源分配至关重要.
研究的目的:
- 为了比较透析开始后的男性和女性一年的医疗保健轨迹.
- 调查潜在的与性别相关的护理模式的差异,考虑到透析启动的背景.
主要方法:
- 2015年在法国开始透析的8856名患者的回顾性分析.
- 利用了来自病学和信息网络 (REIN) 和法国国家健康数据系统 (SNDS) 的数据.
- 使用统计测试和后勤回归来比较性别之间的医疗保健利用率 (住院,全科医生咨询).
主要成果:
- 与女性相比,男性因脏问题在医院住院时间>24小时的可能性较小 (OR=0.8),并且与全科医生咨询的次数较少 (OR=0.8).
- 女性在血管接入准备或维护方面住院时间较长 (男性平均2天,男性1天).
- 尽管男性的并发病率较高,但整体护理轨迹的差异很小.
结论:
- 在透析护理消费的第一年观察到很少有显著的基于性别的差异.
- 透析开始后的医疗保健利用模式在男性和女性之间显示出微妙的差异.
- 进一步的研究可能会探索血管接入护理观察到的差异的潜在原因.
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