在中低收入国家实施中风护理:根据尼泊尔中风项目实施研究的结果和建议
Christine Tunkl1, Raju Paudel2, Sunanjay Bajaj3
1Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
Frontiers in neurology
|November 9, 2023
概括
尼泊尔中风项目 (NSP) 通过培训医疗保健专业人员和提高公众意识,改善了尼泊尔的中风护理. 该倡议为资源有限的环境提供了一个模型,以提高中风管理和患者的结果.
科学领域:
- 全球健康 全球健康
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 卒中不成比例地影响低收入和中等收入国家 (LMICs).
- 在资源有限的环境中,将基于证据的中风护理转化为实践是具有挑战性的.
- 尼泊尔在国家一级解决中风护理方面面临重大挑战.
研究的目的:
- 描述尼泊尔中风项目 (NSP) 的方法,分析障碍和促进因素.
- 改善尼泊尔第三级医疗保健部门的急性中风护理.
- 在LMICs建立一个证据翻译框架.
主要方法:
- 一个四层战略:专业培训,中风监测,公众意识和利益相关方合作.
- 观测数据的定性,代分析.
- 实施中风护理质量注册表 (RES-Q).
主要成果:
- 超过1000名医疗保健专业人员在9家三级医院接受了培训.
- 通过社交媒体和大众媒体,公众宣传活动通过社交媒体和大众媒体覆盖了300多万个人.
- 与国家和国际利益相关者展开合作.
结论:
- 确定了六项关键行动,将三级护理中心发展为LMICs的基本中风中心.
- 国家公共服务提供者的经验有助于在资源有限的环境中对证据翻译的知识.
- 需要进一步验证使用中风护理过程指标的影响.
相关概念视频
Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K
Atherosclerosis IV: Nursing Management
17
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
17
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Acute Coronary Syndrome IV: Interprofessional Care
11
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
11


