家庭在PICU床边的存在:一个单一中心的回顾性队列研究
Mallory B Smith1, Leslie A Dervan2,3, R Scott Watson2,4
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO.
概括
家庭在儿科重症监护室 (PICU) 的存在受到停留时间,保险和慢性疾病的影响. 种族显著改变了这些因素,突出了医疗保健差异.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 卫生公平研究 卫生公平研究
- 健康社会学健康的社会学.
背景情况:
- 家庭在儿科重症监护室 (PICU) 的存在对于患者的护理和家庭的福祉至关重要.
- 了解持续家庭存在的障碍对于改善医疗保健体验至关重要.
研究的目的:
- 为了确定与PICU的床边家庭存在相关的因素.
- 探索个人因素如何作为家庭存在障碍的障碍相互作用.
主要方法:
- 在高等儿童医院 PICU 进行的混合方法研究.
- 使用多变量逻辑回归对523名儿童数据 (2011-2017年) 的定量分析.
- 对匹配的患者群体进行社会工作笔记的定性主题分析.
主要成果:
- 较长的PICU停留时间 (LOS),公共保险和复杂慢性疾病 (C-CD) 与较低的家庭出席率 (<80%) 有关.
- 自我报告的种族改变了这些关联;非白人家庭遇到了更多的障碍 (公共保险,C-CD,更长的LOS).
- 定性主题揭示了护理人员的经历,外部关系,以及压力因素对床边存在的影响.
结论:
- 社会人口统计学和疾病因素影响了家庭在PICU的临床存在.
- 自我报告的种族改变了这些关联,表明医疗保健中的系统性种族主义.
- 评估家庭的存在可以帮助识别医疗保健获取方面的差异.
更多相关视频
08:08Author Spotlight: Capturing Infant-Caregiver Interactions Through Synchronized Multimodal Data Collection
Published on: May 31, 2024
915
11:50Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
26.5K
相关概念视频
01:11Observational Studies
8.7K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.7K
01:21Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
02:20Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K