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打破障碍:确保短期外科任务的性别中立护理
Julia Riccardi1, Ryan Benson2, Fatemeh Parvin-Nejad2
1Department of Surgery, University of California Davis, Sacramento, California.
The Journal of surgical research
|October 4, 2024
概括
这项关于短期外科任务 (STSMs) 的研究发现,在加纳和塞拉利昂的 inguinal 修复中没有显著的性别差异. 在人道主义手术中,公平的患者选择对于解决与性别有关的差异至关重要.
科学领域:
- 全球手术全球手术
- 健康 公平 卫生 公平
- 医学伦理 医学伦理
背景情况:
- 医疗保健中的性别歧视是一个全球性问题.
- 短期外科任务 (STSM) 在资源分配方面面临道德挑战.
- 这项研究调查了STSMs患者选择中的性别平等.
研究的目的:
- 检查在STSM期间在操作护理分配中的性别平等.
- 评估女性患者是否在STSMs中获得公平的外科护理.
- 在全球外科外展中为道德考虑提供信息.
主要方法:
- 来自加纳和塞拉利昂 (2013-2023) 的国际外科卫生倡议 (ISHI) 记录的分析.
- 专注于 inguinal 的修复作为最常见的程序.
- 与对照组的比较来自每项研究中500多名患者的文献综述.
主要成果:
- 一项对26项研究的文献综述显示,在 inguinal hernia 修复中,女性占13%.
- 在塞拉利昂,246次修复中的11.4%是女性,与对照组没有显著差异 (P=0.45).
- 在加纳,150次修复中的8%是女性,同样与对照组没有显著差异 (P=0.07).
结论:
- 这是第一个在人道主义外科外展中调查性别平等的研究.
- 在STSM中选择患者必须优先考虑公平的护理分配.
- 在全球外科手术倡议中,解决性别差异至关重要.
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