全球对保守脏管理的获取和质量
Barnaby Hole1, Nicola Wearne2, Silvia Arruebo3
1Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
概括
保守性管理 (CKM) 在大多数国家都有,但获得和质量差异很大. 改善CKM至关重要,特别是在资源不足的环境中,以满足功能衰竭患者的息护理需求.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 抚慰性护理是一种缓解性护理.
- 全球卫生平等全球卫生平等
背景情况:
- 保守性管理 (CKM) 为患有功能衰竭的个人提供支持性护理,他们选择退出或无法获得置换疗法 (KRT).
- 这项研究调查了CKM服务的全球可用性和资金.
研究的目的:
- 评估保守管理 (CKM) 服务的全球可用性.
- 评估与全球CKM相关的基础设施,指导方针,药物和培训.
主要方法:
- 利用了国际脏学会全球脏健康调查 (2022年6月至9月) 的数据.
- 评估了CKM的可用性,其基础设施,指导方针,药物以及响应国家的培训.
主要成果:
- 在61%的受访国家中,有CKM存在,53%的国家有共享决策CKM,39%的国家有选择限制CKM.
- 共享决策基础设施 CKM 与国民收入相关,在高收入国家更容易获得. 在低收入国家,选择限制的CKM可用性更高.
- 对于CKM症状管理的基本药物和护理人员培训是有限的,特别是在低收入环境中.
结论:
- 虽然大多数国家都有一定的CKM能力,但其定义和规定存在重大差异.
- 不充分的CKM接入导致无法满足的息护理需求,特别是在资源有限的地区,未经治疗的功能衰竭死亡率很高.
- 解决CKM的差异对于改善全球功能衰竭患者终身护理至关重要.
相关概念视频
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01:27Dialysis
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01:23Renal Clearance
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01:08Renal Drug Clearance: Comparison Between Renal Excretion Methods
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01:15Renal Drug Excretion: Overview
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