长期COVID定义和护理模式:一个大范围的审查
Roger Chou1, Eric Herman2, Azrah Ahmed1
1Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon (R.C., A.A., S.S., T.D., L.W., I.I.).
Annals of internal medicine
|May 20, 2024
概括
长期COVID的定义和护理模式仍在发展. 本综述概述了当前的定义和护理模式,提出了一个区分它们的框架,并强调需要进一步研究以优化患者的治疗结果.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 医疗保健系统 医疗保健系统
背景情况:
- 长期COVID (COVID后情况) 的定义是不一致的和不断变化的.
- 管理长期COVID患者的最佳模型仍然不确定.
- 这项研究解决了对长期COVID定义和护理方法的清晰度的需求.
研究的目的:
- 对现有的长COVID定义进行范围审查.
- 提供当前长期COVID护理模式的概述.
- 为描述和区分长期COVID护理模式提出一个框架.
主要方法:
- 在多个数据库中进行搜索 (MEDLINE,PsycINFO,Scopus等). 和灰色文学从2021年1月到2023年11月.
- 包括关于长期COVID定义或护理模式的出版物,并补充了专家信息员的见解.
- 系统地提取数据,由第二名审核员进行验证.
主要成果:
- 确定了长期COVID的五种临床定义,诊断标准各异 (时间,持续时间,症状得分).
- 描述了49个基于五个关键原则的长期COVID护理模型 (例如,多学科团队,以患者为中心的护理).
- 开发了七个特征框架来区分模型,确定了10个基于实践的和3个基于系统的模型.
结论:
- 目前的长COVID定义和护理模式缺乏标准化和详细的结果数据.
- 进一步的研究对于完善定义和评估不同护理模式的有效性至关重要.
- 一个拟议的框架有助于理解和比较各种长期COVID护理方法.
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