澳大利亚农村高风险足部服务的经验和影响:一项多方法研究
Peta Ellen Tehan1,2,3, Hailey Donnelly3, Emma Martin4
1Subfaculty of Clinical and Molecular Sciences, Faculty of Medicine, Nursing and Allied Health, Monash University, Clayton, Victoria, Australia.
The Australian journal of rural health
|February 10, 2024
概括
在农村地区实施高风险脚部服务 (HRFS) 显示,糖尿病相关脚部并发症的重大截肢趋势下降. 临床医生致力于改善所有患者的公平护理,包括第一民族人民.
科学领域:
- 足部医学是一门专业.
- 公共卫生 公共卫生
- 农村卫生 农村卫生
背景情况:
- 高风险脚部服务 (HRFS) 集中在城市地区,导致农村地区糖尿病相关脚 (DFU) 结果的差异.
- 由于有限的专业服务,患有DFU的农村人面临更高的截肢率.
研究的目的:
- 探索临床医生对澳大利亚新南威尔士州新农村HRFS的看法.
- 在农村环境中实施HRFS之前和之后,比较截肢和住院的趋势.
主要方法:
- 一种混合方法的方法,结合了定性半结构面试和定量中断时间序列分析.
- 在农村的HRFS中招募了卫生专业人员.
- 对截肢和住院趋势的ICD代码的回顾性分析.
主要成果:
- 定性数据揭示了"跨越差距"",农村社区和挑战"和"专业身份"等主题.
- 定量分析表明,HRFS实施后的大型截肢的下降趋势在统计学上并不显著.
结论:
- 临床医生认识到DFU结果中的不平等,并致力于改善护理,特别是对第一民族人民的护理.
- 需要进一步的长期研究来评估专业多学科护理在农村DFU管理中的影响.
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