一项跨国,多中心研究绘制了脏支持性护理实践模型
Seren Marsh1, Amanda Varghese2, Charlotte M Snead1
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Kidney international reports
|July 31, 2024
概括
支持性护理 (KSC) 模式在不同的国家和单位之间有很大差异,尽管始终以人为中心的优先事项. 为了实现可持续的KSC,需要进一步的研究和更好的资金.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 支持性护理 (KSC) 整合了和息护理,以提高慢性病 (CKD) 患者的生活质量.
- 全球对KSC的兴趣日益增长,但仅有有限的证据来指导其最佳交付.
- 了解当前的KSC模型对于改善护理标准至关重要.
研究的目的:
- 描述目前澳大利亚,新西兰和英国支持性护理 (KSC) 服务的模式.
- 为了确定这些地区的KSC交付的变化和一致性.
- 突出了需要改进的领域,在KSC提供.
主要方法:
- 采用了观察性,横截面的研究设计.
- 一项在线调查分发给澳大利亚,新西兰和英国的科单位.
- 在2022年4月至12月期间,从114个响应单位收集了数据 (67%的响应率).
主要成果:
- 66%的响应单位拥有专门的KSC服务,在不同国家 (英国74%,澳大利亚58%,新西兰67%) 的实施方面存在差异.
- 医疗保健专业人员,资源和活动多样化,在国家内部和国家之间存在显著差异.
- 对KSC服务的资金一般很低 (平均每100名血液透析患者中只有0.51个FTE),一些单位没有专门的资金运作.
- 优先考虑的KSC活动包括症状管理,心理支持,未来治疗计划和护理协调.
结论:
- 对于KSC的模型,脏单位和国家之间存在相当大的差异.
- 尽管存在结构上的差异,但KSC始终优先考虑以人为中心的护理,专注于身体和心理社会福祉.
- 进一步的研究对于评估KSC的有效性和开发可持续的融资模式来实现公平交付至关重要.
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