试点一个评估工具,在武装冲突中组织外科护理:来自喀麦隆的发现
Kevin Gianaris1, Ghyslaine Bruna Djeunang Dongho2, Nkengafac Nyiawung Fobellah3
1Indiana University School of Medicine, Indianapolis, Indiana.
The Journal of surgical research
|October 19, 2024
概括
全球冲突扰乱了外科手术护理. 该工具评估了喀麦隆的医院容量,发现冲突期间由于国际援助增加了资源,尽管创伤护理负担更高.
科学领域:
- 全球卫生健康 全球卫生健康
- 提供外科手术护理.
- 冲突医学是一种冲突医学.
背景情况:
- 全球武装冲突正在上升,严重影响了手术护理.
- 人员,基础设施,程序,设备,供应和标准 (PIPESS) 工具是为了评估医院容量而开发的.
- 在喀麦隆试用了PIPESS工具,以评估冲突和COVID-19大流行期间的外科护理.
研究的目的:
- 评估武装冲突和COVID-19对外科护理的影响.
- 试行PIPESS工具,用于评估冲突环境中的医院能力.
- 量化冲突前和冲突期间手术资源的变化.
主要方法:
- 一项采用深入采访和现场观察的横截面,定性研究.
- 关键信息人包括患者,医生和医院工作人员.
- 使用PIPESS工具计算冲突前和冲突期间的分数.
主要成果:
- 冲突前的障碍包括不良的医院前护理,资金/培训缺口和超过需求.
- COVID-19导致资源流入,但破坏程度低于冲突.
- PIPESS评分从110 (冲突前) 增加到115 (冲突期间),表明人员和基础设施增加.
结论:
- 冲突加剧了卫生中心和创伤护理资源的压力.
- 矛盾的是,在冲突期间,外科手术资源增加了,这可能是由于国际支持和人员流离失所.
- 在冲突后阶段需要进一步的研究.
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