在印度南部的一个州为结核病患者提供同行支持的差异化护理和营养补充的经验教训
Hemant Deepak Shewade1, A James Jeyakumar Jaisingh2, Prabhadevi Ravichandran3
1ICMR-National Institute of Epidemiology (ICMR-NIE), Chennai, India. hemantjipmer@gmail.com.
Global health, science and practice
|July 17, 2024
概括
受过培训的结核病幸存者,被称为结核病冠军,为结核病患者提供咨询和促进营养支持. 这种同行支持改善了患者护理和结果,突出了社区参与结核病计划的价值.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 社区健康 社区健康
背景情况:
- 结核病 (TB) 患者支持系统至关重要,定期咨询和营养支持是关键组成部分.
- 差异化结核病护理计划旨在通过优先考虑高风险患者来减少结核病死亡.
- 受过培训的结核病幸存者或结核病冠军可以在患者支持中发挥至关重要的作用.
研究的目的:
- 评估结核病冠军在为结核病患者提供咨询和促进营养支持方面的有效性.
- 评估结核病冠军参与对患者转诊,入院和营养补充的影响.
- 为扩大结核病冠军在社区结核病护理中的角色提供信息.
主要方法:
- 在2023年1月至6月期间,在6个地区进行了试点研究.
- 经过培训的结核病冠军为结核病选阳性患者提供了基线和额外的咨询.
- 在严重营养不良的患者中,优先考虑营养补充.
主要成果:
- 结核病冠军为100%的患者提供咨询,这些患者的详细信息共享 (145/652) 为基线支持.
- 96%需要额外咨询的患者 (71/74) 被结核病冠军接触,导致76%的入院或再入院.
- 60%的严重营养不良患者接受了由结核病冠军促进的营养补充.
结论:
- 结核病冠军通过咨询和动员营养支持资源,有效地提供优质,及时的同行支持.
- 结核病冠军和结核病计划之间的加强协调可以加强社区参与.
- 这个试点项目展示了结核病冠军在结束印度结核病方面的重大贡献.
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