在乌干达农村的COVID-19封锁期间,患者提供者与慢性非传染性疾病护理的经验:定性分析
Peter K Olds1, Gabriel Nuwagaba2, Paul S Obwoya2
1Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America.
PloS one
|December 14, 2023
概括
COVID-19大流行严重扰乱了乌干达的非传染性疾病 (NCD) 护理,由于药物获取问题和粮食不安全性,病人的健康状况恶化. 传递NCD护理的系统性问题需要紧急,有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 非传染性疾病 (NCD) 在撒哈拉以南非洲,特别是在乌干达,是一个显著且日益增长的健康挑战.
- 在乌干达,非传染性疾病导致了超过三分之一的死亡.
- COVID-19大流行和相关的公共卫生措施显著影响了NCD护理的连续性,对患者和提供者经验的理解有限.
研究的目的:
- 在乌干达西南部的COVID-19大流行期间,探索患者和医疗保健提供者在NCD护理方面的生活经验.
- 鉴定在与流行病相关的限制中获得和提供NCD护理所面临的挑战和障碍.
主要方法:
- 采用深入,面对面的采访进行的定性研究.
- 20名患有高血压,糖尿病和/或心脏病的患者从姆巴拉拉地区推医院招募.
- 来自姆巴拉拉公共卫生设施的11名医疗保健提供者接受了采访.
- 数据分析使用了采访成绩单的传统内容分析.
主要成果:
- 出现了四个主要主题:难以获得药物,粮食不安全,临床NCD护理提供障碍,以及替代护理策略的出现.
- 在COVID-19封锁期间,NCD护理的现有挑战被放大,导致严重的护理中断.
- 医疗服务中断导致了不良的患者健康结果,包括死亡率增加.
结论:
- 在乌干达,COVID-19大流行加剧了NCD护理的系统性问题.
- 有针对性的干预措施是必要的,以解决药物获取,粮食不安全和临床护理障碍.
- 未来的战略应该包括数字健康解决方案,分散的护理模式,改进的后续系统,对患者的社会支持和供应链改进.
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