改善低收入和中等收入国家的气管切除术护理质量:一个范围审查
Msiba Selekwa1, Ivy Maina2, Tiffany Yeh3
1Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
PLOS global public health
|November 9, 2023
概括
在低收入和中等收入国家 (LMICs) 中,关于气管切除术护理的研究有限. 本次审查强调了改善气管切除术质量改善和临床研究在这些地区的挑战和机会.
科学领域:
- 医学科学 医学科学 医学科学
- 全球健康 全球健康
- 提高质量 提高质量
背景情况:
- 气管切除术是各种临床场景中呼吸道管理的关键程序.
- 在高收入国家中存在成功的质量改进举措,但来自LMICs的数据很少.
- 全球大部分人口居住在低,中和低收入国家,这凸显了本地化研究的必要性.
研究的目的:
- 在LMIC中进行已发表的气管切除术研究的范围审查.
- 为了确定当前的做法,挑战,和质量改善需要在LMIC气管切除术护理.
- 突出未来临床研究和质量改善工作的领域.
主要方法:
- 根据PRISMA指南进行范围审查.
- 在MEDLINE/PubMed和Embase数据库中进行搜索 (2000-2022,英语出版物).
- 包括与气管切除术,教育/质量改善干预措施和LMICs相关的研究.
主要成果:
- 分析了来自10个LMIC的18篇出版物.
- 研究涵盖了需求评估,护理人员培训,干预措施和协议开发.
- 确定了关键挑战:语言/识字障碍,资源限制 (水,电) 和卫生系统接入问题.
结论:
- 关于在LMICs中改善气管切除术质量和护理的出版文献存在重大差距.
- 改进的机会包括结果测量,量身定制的基于证据的干预措施和实施科学框架.
- 解决独特的LMIC挑战对于全球加强气管切除术患者护理至关重要.
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