低资源环境中的家庭通风:学会用更少的资源做更多的事情
Marco Zampoli1, Jane Booth2, Diane M Gray1
1Department of Pediatrics and Child Health, Division of Pediatric Pulmonology, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
Pediatric pulmonology
|December 5, 2023
概括
家庭儿童的长期通风 (LTV) 在低资源环境 (LRS) 中具有挑战性,因为服务有限和成本高. 早期的护理人员培训和简单的监测工具对于在这些领域成功实施LTV至关重要.
科学领域:
- 儿科重症监护 儿科重症监护
- 呼吸系统药物 呼吸系统药物
- 全球卫生健康 全球卫生健康
背景情况:
- 儿童的长期通风 (LTV),特别是侵袭性LTV,在低资源环境 (LRS) 中很少.
- 障碍包括发展不足的儿科重症监护,有限的专业知识,睡眠呼吸障碍 (SDB) 查挑战,高设备成本,不可靠的电力和社会经济因素.
- 由于缺乏专业的家庭护理,护理人员的依赖度很高,在选择家庭时存在道德困境.
研究的目的:
- 探索在LRS的儿童实施家庭LTV的可行性和挑战.
- 确定在资源有限的环境中成功提供和管理LTV的关键策略.
- 为改善儿科LRS的LTV获取和结果提供政策和实践信息.
主要方法:
- 对LRS中LTV的现有文献和临床经验的审查.
- 对家庭儿科LTV的障碍和促进因素的分析.
- 讨论成功实施的基本组成部分,包括护理人员培训和监测.
主要成果:
- 在LRS中成功实施LTV取决于早期,全面的护理人员在气管切除和设备护理方面的培训,无论教育水平如何.
- 简单的工具,如夜间氧计,移动技术,螺旋计和临床评估,有助于识别和监测需要LTV的儿童.
- 积极参与成人服务对于无过渡途径至关重要,因为需要LTV的儿童的生存时间更长.
结论:
- 针对LRS的儿科LTV能力建设需要针对性的卫生专业培训和宣传,以获得其改变生活,节省成本的好处.
- 在LRS中有效的LTV需要解决基础设施,成本,专业知识和护理人员支持.
- 长期护理和过渡到成人服务的战略规划对于资源有限的环境中LTV儿童至关重要.
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