对印度南部结核病护理试点的差异化护理模式进行混合方法评估
Reynold Washington1,2, Satyanarayana Ramanaik3, Karthikeyan Kumarasamy3
1Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Journal of public health research
|September 25, 2023
概括
实施结核病 (TB) 差异化护理模式表明,社区卫生工作者可以识别有风险的患者. 然而,扩展该模型需要更长的实施时间和更好的支持,以改善结核病治疗结果.
科学领域:
- 公共卫生 公共卫生
- 传染病管理 传染病管理
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 印度国家结核病消除计划优先考虑以患者为中心的护理,以改善结核病 (TB) 治疗.
- 一种差异化护理模式 (DCM) 试行,以加强对活跃结核病患者的结核病护理.
研究的目的:
- 描述实施DCM对活跃结核病患者的经验教训.
- 评估DCM对结核病治疗结果的影响.
- 探索患者和医疗保健工作者与DCM的经验.
主要方法:
- 混合方法方法包括定性研究.
- 社区卫生工作者 (CHW) 评估了结核病患者的风险和需求.
- 干预涉及教育,咨询和联系,为处于危险的个人提供支持服务.
- 在DCM实施之前和之后,结核病治疗结果的比较.
主要成果:
- 医疗保健工作室有效地识别了患有不遵守风险的患者.
- 正如所设想的那样,CHWs有限地提供差异化护理.
- 在队列之间没有观察到结核病治疗结果的显著变化.
- 扩大DCM的障碍包括实施时间短,合并疾病的CHW技能不足以及低于最佳的现场支持.
结论:
- 对于处于危险结核病患者的受过培训,得到支持的前线工作者来说,差异化护理是可行的.
- 成功地在人口层面产生影响需要在足够长的时间内扩展DCM,以改变传统做法.
相关概念视频
Pulmonary Tuberculosis V
194
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
194
Pulmonary Tuberculosis I
257
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
257
Pulmonary Tuberculosis II
256
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
256
Pulmonary Tuberculosis III
357
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
357
Pulmonary Tuberculosis IV
157
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
157
Methods of Documentation VI: Case Management Model
592
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
592


