限制尼日利亚格劳科马患者格劳科马护理的因素:范围审查
Osamudiamen Cyril Obasuyi1, Olabisi Olayemi Yeye-Agba2, Oghenevwaire Joyce Ofuadarho1
1Department of Ophthalmology, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
PLOS global public health
|January 26, 2024
概括
尼日利亚眼治疗的障碍包括个人因素,如教育和成本,以及机构问题,如缺乏设备. 解决这些问题需要政策变化和基于社区的意识,以改善人们获得眼科护理服务的机会.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 玻璃眼是全球不可逆转失明的主要原因,影响了11%的病例.
- 晚期呈现和缺乏诊断/治疗是格劳科马护理途径中的重要问题.
- 患者和机构因素阻碍了及时诊断和管理青光眼的机会.
研究的目的:
- 对尼日利亚限制人们获得青光眼护理的因素进行范围审查.
- 识别影响青光眼意识,诊断,治疗和随访的个人和机构障碍.
- 为改善青光眼服务采用率和患者执法率的策略提供信息.
主要方法:
- 根据JBI方法进行范围审查,在OSF预先注册.
- 在PubMed,EMBASE,科学网,AJOL和谷歌学者 (1990年至2023年6月) 的系统搜索.
- 分析13项研究 (1项混合方法,3项定性,9项定量) 涉及8个尼日利亚州的2,643名受访者.
主要成果:
- 九项研究确定了个人障碍:低教育,失业,性别,距离,成本和信仰.
- 四项研究强调了制度障碍:诊断和管理设备/专业知识不足.
- 鉴定到的因素影响了对青光眼的认识,手术接受度,药物服药程度和临床随访.
结论:
- 在尼日利亚,由于各种个人和机构因素,对眼治疗的准入受到阻碍.
- 政策干预和以社区为中心的自下而上的方法对于提高意识和服务采用是至关重要的.
- 减少对遥远的三级医院的依赖对于弥合信息和服务差距至关重要.
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