实施非传染性疾病查干预与结核病患者护理的整合挑战和机会:混合实施研究
Mengistu Handiso Nunemo1, Kassa Daka Gidebo2, Eskinder Wolka Woticha2
1Department of Public Health, Wachemo University, Hossana, Central Region, Ethiopia.
Risk management and healthcare policy
|December 4, 2023
概括
将非传染性疾病 (NCD) 查整合到结核病 (TB) 护理中,面临着资源缺口和工作量等挑战. 然而,现有的卫生计划和训练有素的人员为成功实施提供了机会.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 传染性疾病 传染性疾病
背景情况:
- 建议早期检测和治疗并发性疾病,包括结核病 (TB) 和非传染性疾病 (NCD).
- 关于将非传染性疾病查纳入结核病护理的试点研究有限,实施的挑战和机会尚不清楚.
研究的目的:
- 识别结核病患者护理中的非传染性疾病和风险因素查的综合实施挑战和机会.
主要方法:
- 采用了一种混合方法实施研究设计.
- 从443名结核病患者,21名关键信息提供者和设施观察中收集的数据.
- 使用描述性统计数据分析的定量数据;以主题分析的定性数据.
主要成果:
- 结核病患者中高血压和糖尿病的患病率分别为6.55%和5.64%.
- 确定了13个综合实施挑战 (例如,缺乏设备,培训,推系统) 和8个机会 (例如,现有卫生计划,非政府组织,训练有素的人员).
- 主要挑战包括资源限制和工作量;机会包括建立的卫生结构和训练有素的工作人员.
结论:
- 虽然大多数结核病患者没有与非传染性疾病共患,但建立一个综合系统至关重要.
- 解决已确定的挑战和利用机会,如开发融合平台和结构性权威,对于成功实施至关重要.
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