巴基斯坦末期病的系统审查:确定实施研究成果
Hamad AlRashed1, Johanna Miele1, Joshua Prasad1
1Doctor of Public Health (DrPH) Program, New York University School of Global Public Health, New York, New York, United States of America.
PloS one
|December 27, 2023
概括
这一系统性审查发现巴基斯坦对末期脏病 (ESRD) 的科学研究实施有限. 需要更多基于证据的策略来改善ESRD治疗和护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 腎臟醫學 腎臟醫學
背景情况:
- 末期脏病 (ESRD) 在巴基斯坦构成了重大健康负担.
- 有效的实施策略对于优化ESRD治疗和护理提供至关重要.
- 关于巴基斯坦的ESRD实施成果研究的文献中存在一个空白.
研究的目的:
- 系统地审查和评价现有的关于实施科学成果的文学研究,用于巴基斯坦末期脏病 (ESRD).
- 在巴基斯坦的ESRD护理背景下,确定关键的实施成果,如适当性,可行性和可接受性.
主要方法:
- 在多个主要的科学数据库 (PubMed,科学网,EMBASE,科克莱恩图书馆,CINAHL,奥维德) 进行了全面的系统数据库搜索,截至2022年10月22日.
- 用Covidence和混合方法评估工具 (MMAT) 进行文献选,数据提取和研究评估.
主要成果:
- 四项研究符合纳入标准,重点关注ESRD干预措施的适当性,可行性和可接受性.
- 适当性在知识和药物坚持得分上显示了统计学上显著的改善.
- 在启动和维持透析的背景下,特别是在低收入家庭中,探索了可行性和可接受性.
结论:
- 在巴基斯坦,关于末期脏病 (ESRD) 的实施研究非常稀缺.
- 迫切需要基于证据的实施策略,以加强巴基斯坦ESRD治疗的医疗保健平台.
- 进一步的研究对于解决ESRD日益增长的负担和通过有效的实施科学来改善患者的结果至关重要.
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