对患有长期疾病的人群进行复杂干预的调整:范围审查
Jamal Uddin1,2, Vicky L Joshi3, Valerie Wells1
1MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Translational behavioral medicine
|June 19, 2024
概括
这次审查发现,针对长期疾病 (LTC) 调整医疗保健干预措施往往侧重于早期阶段,报告质量中等. 需要改进方法指导,特别是对于低收入和中等收入国家 (LMICs).
科学领域:
- 医疗保健干预调整 医疗保健干预调整
- 全球卫生公平性全球卫生公平性
- 长期条件管理的管理.
背景情况:
- 医疗保健干预措施经常适应新的环境,特别是长期疾病 (LTC).
- 了解适应方法至关重要,特别是在低收入和中等收入国家 (LMICs) 的研究中.
研究的目的:
- 审查当前适应LTC患者复杂医疗干预措施的方法.
- 确定适应研究中的挑战和差距,重点关注LMICs.
主要方法:
- 进行了对文献数据库 (2000-2022) 的范围审查.
- 涉及五个阶段:定义研究问题,识别/选择研究,数据图表和合成.
- 数据提取评估了适应的逻辑,阶段,框架和报告质量,使用2021年ADAPT指南.
主要成果:
- 包括21个LTC的25项研究,主要集中在宏观层面的干预措施上.
- 适应的理由包括地理转移 (HIC到LMIC,HIC到HIC,LMIC到LMIC),社会经济/种族群体转移以及国内设置转移.
- 报告质量中等,重点关注早期适应阶段 (识别/开发) 和有限的结果/实施评估.
结论:
- 需要改善对LTC复杂干预调整的报告.
- 未来的适应方法指南必须优先考虑LMICs的特定需求和背景.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
878
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
878
Community Based Intervention
38
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
38
Classification of Illness
7.4K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.4K
Methods of Documentation VI: Case Management Model
567
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
567
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K


