共同设计一个以社区为基础的康复计划,以减少在一个玛雅-尤卡特科市的肌肉骨障碍.
概括
基于社区的参与性研究 (CBPR) 使得墨西哥的慢性肌肉骨疾病社区康复计划 (CBR) 的共同设计成为可能. 该计划整合了当地需求和知识,以改善玛雅社区的医疗保健获取和质量.
科学领域:
- 公共卫生 公共卫生
- 社区健康 社区健康
- 康复科学 康复科学 康复科学
背景情况:
- 慢性肌肉骨系统疾病 (MSK) 在墨西哥尤卡坦州Chankom的玛雅社区造成了显著的残疾.
- 解决MSK疾病负担需要文化相关和社区驱动的干预措施.
研究的目的:
- 阐明基于社区的参与性研究 (CBPR) 策略,用于设计基于社区的康复 (CBR) 计划.
- 开发一个CBR计划,以适应Chankom的MSK疾病患者的需求.
主要方法:
- 2014年至2017年收集的民族学数据的定性描述性主题分析.
- 实施一个涉及学术和社区合作伙伴的CBPR战略.
主要成果:
- 关键的CBPR流程包括建立联盟,优先考虑社区需求,整合本地和全球知识,以及共享决策.
- 设计的CBR计划包括六项干预措施:卫生服务协调,个人支持,社区血液采样,专业服务,健康促进和运输.
- 该计划的干预措施具有文化敏感性,旨在提高医疗保健的质量,可用性,可访问性和可接受性.
结论:
- 通过广泛的社区参与和CBPR原则,共同设计了Chankom的慢性MSK疾病的CBR计划.
- 开发的CBR计划解决了WHO-CBR矩阵的健康组成部分.
- 建议在计划实施和评估后进行未来的CBPR周期,以确保持续的影响.
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