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发展中国家创伤性脊髓损伤护理的挑战 - - 范围审查

Mohammad Hosein Ranjbar Hameghavandi¹, Elaheh Khodadoust¹, Mahgol Sadat Hassan Zadeh Tabatabaei¹

¹Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Frontiers in public health

|September 3, 2024

概括

发展中国家在创伤性脊髓损伤 (TSCI) 护理方面面临重大挑战,特别是在医院后的管理和伤害预防方面. 解决这些问题需要针对性,基于证据的倡议,以改善教育,规划和资源分配.

科学领域:

医学研究医学研究
公共卫生公共卫生
全球健康全球健康

背景情况:

创伤性脊髓损伤 (TSCI) 构成了全球严重的健康负担,发展中国家在提供足够的护理方面面临着独特且往往压倒性的挑战.
有效的TSCI管理需要全面的方法,包括预防,医院前,医院内和医院后的护理,但在低收入和中等收入国家,资源和基础设施往往有限.

研究的目的:

系统地评估在发展中国家创伤性脊髓损伤 (TSCI) 护理的开发和实施中遇到的主要挑战.
确定TSCI护理连续性的关键障碍,从初始伤害预防到长期康复和支持.

主要方法:

在2023年4月16日,在主要的电子数据库 (PubMed,SCOPUS,Web of Science,EMBASE,Cochrane Library) 中进行了全面的系统文献搜索.
其中包括着重于发展中国家TSCI管理挑战的研究,提取的结果分为伤害预防,医院前护理,医院内护理和医院后护理.

主要成果:

总共审查了82篇文章,揭示了所有护理阶段的重大挑战,特别强调了医院后护理问题,如残疾的个人,财务和社会后果.
确定的主要障碍包括缺乏训练有素的医疗保健专业人员,公共教育不足,护理提供延迟,医院前网络不足以及伤害预防基础设施和立法方面的缺陷.
医院后的护理挑战,包括患者赋权和长期残疾管理,是最常被研究的方面.

结论:

迫切需要进一步的研究,以解决发展中国家的TSCI伤害预防和医院前护理方面的知识差距.
开发和实施系统的,以证据为基础的,针对特定国家环境量身定制的倡议,对于改善TSCI结果至关重要.
了解这些挑战将引导决策者和医疗保健提供者加强教育,战略规划,立法支持和资源分配,以管理TSCI.

关键词:

发展中国家发展中国家发展中国家患者护理管理管理预防和控制预防和控制脊髓损伤导致的脊髓损伤伤口和伤害的伤害和伤害.

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