监禁人口中手术护理的系统审查:确定未来研究的知识差距
Totadri Dhimal1, Paula Cupertino1, Aqsa Ghaffar1
1From the Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NY.
概括
监禁人员的外科护理研究不足,有限的研究表明潜在的差异和更高的并发症率. 进一步的研究对于改善这一弱势群体的健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 手术护理 手术护理
背景情况:
- 美国监狱系统有200万囚犯,他们面临着独特的健康挑战和差异.
- 有限的文献存在于监禁人口的手术护理,需要研究.
- 这个边缘化社区有宪法赋予的医疗保健权,但却面临着障碍.
研究的目的:
- 综合评估监禁人员的外科护理.
- 为了确定这一群体的外科护理的关键知识差距.
- 为未来的卫生服务研究和干预提供信息.
主要方法:
- 在2023年12月之前对文献进行系统审查.
- 在PubMed,Embase和Web of Science进行的搜索.
- 包括关于手术护理的原始研究,但不包括特定病例类型和人群.
主要成果:
- 17项来自16个队伍的研究报告了手术护理,主要是骨科.
- 被监禁的个人出现了延迟的护理,复杂的病例和低的随访.
- 观察到较高的非融合和关节切除术后感染率;类似的创伤死亡率.
结论:
- 有证据表明,在监禁患者的手术护理方面,可能存在劣势.
- 有限的研究质量凸显了进一步研究的迫切需要.
- 改善手术护理对于患者,临床医生和政策制定者来说至关重要.
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