在低收入和中等收入国家,导致尾切除术延迟的因素:综合性审查
Johnelize Louw1,2, M McCaul3, R English4
1Centre for Global Surgery, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. 18205585@sun.ac.za.
World journal of surgery
|September 25, 2023
概括
在低收入和中等收入国家 (LMICs) 中,由于缺乏意识和财务障碍等患者因素,延迟进入尾切除术是常见的. 医院资源有限进一步阻碍了对尾炎的及时手术护理.
科学领域:
- 全球健康 全球健康
- 外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尾炎是全球常见的紧急手术条件.
- 进入尾切除术的延迟增加了并发症的风险.
- 关于低收入和中等收入国家 (LMICs) 尾切除术准入延迟的数据有限.
研究的目的:
- 识别和综合证据,在LMICs内延迟获得尾切除术的证据.
- 了解导致这些延迟的因素.
主要方法:
- 根据PRISMA扩展范围审查 (PRISMA-ScR) 的指导方针进行了范围审查.
- 数据使用三次延迟框架进行了综合和解释.
- 在多个平台上进行了广泛的数据库搜索,包括PubMed,Scopus和非洲期刊在线.
主要成果:
- 从最初的21,893项研究中,包括了78项研究.
- 与患者相关的因素,如症状意识低和使用替代医学,显著延迟了寻求护理.
- 在整个患者旅程中,财务限制一直是障碍.
- 对拒绝治疗的恐惧也导致了延迟.
结论:
- 在LMIC中观察到,在寻求尾切除护理方面,患者相关的显著延迟.
- 医院资源不足进一步加剧了获得手术治疗的延迟.
- 需要进一步的研究,以解决尾切除手术的延迟在更多的LMICs.
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