炎症性肠道疾病的结构评估 在巴西的综合护理单位
Abel Botelho Quaresma1,2, Ludmila Resende Guedes3,4, Jaqueline Ribeiro de Barros5
1Universidade do Oeste de Santa Catarina, Joaçaba, SC, Brasil.
对炎症性肠病 (IBD) 的优化护理至关重要,但巴西缺乏验证的方法来评估综合护理单位 (CCU). 这项研究突出了区域差异,并确定了巴西各地IBD护理提供改善的领域.
科学领域:
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 优化护理对于预防炎症性肠病 (IBD) 并发症至关重要.
- 巴西目前缺乏用于评估IBD综合护理单位 (CCU) 的验证方法.
- 由于缺乏标准化的评估工具,评估巴西IBD护理的质量具有挑战性.
研究的目的:
- 在巴西绘制IBD综合护理单位 (CCU) 的分布图.
- 确定现有IBD CCU的优点和弱点.
- 了解当前IBD护理的情况,考虑到区域特点.
主要方法:
- 进行了一项三阶段的研究,涉及巴西克罗恩病和结肠炎组织 (GEDIIB) 的调查.
- 在一项调查中,GEDIIB成员回答了有关IBD CCU的11个相关问题.
- 临时分析使用描述性统计和千二测试来分析数据.
主要成果:
- IBD CCU集中在巴西东南部和南部地区,在北部和东北部地区的存在有限.
- 虽然大多数中心提供内镜手术,但获得先进的诊断,如肠镜和小肠囊内镜是有限的,特别是在公共部门.
- 在提供IBD护士和患者满意度方法方面存在差距,尽管许多中心存在多学科团队和基于证据的协议.
结论:
- 巴西的IBDCCU表现出显著的区域集中,主要在东南部和南部.
- 大多数中心拥有多学科团队和IBD专家,但需要增加IBD护士的数量.
- 改善对先进的诊断技术和以患者为中心的方法的获取对于提高全国IBD护理质量至关重要.
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