由社区卫生工作者提供的足部护理干预:修改后的德尔菲研究
Okatiranti Okatiranti1,2, Richard Windle2, Henry B Perry3
1Department of Nursing, Adhirajasa Reswara Sanjaya (ARS) University, Bandung, IDN.
Cureus
|November 1, 2024
概括
社区卫生工作者 (CHW) 可以为糖尿病管理提供足部护理干预措施. 这项研究完善了印尼CHW的核心组成部分,突出了志愿者地位和报酬等挑战.
科学领域:
- 公共卫生 公共卫生
- 糖尿病管理 糖尿病管理
- 医疗保健提供 医疗保健提供
背景情况:
- 社区卫生工作者 (CHW) 在资源丰富的环境中有效提供足部护理干预 (FCI).
- 关于CHW在低资源国家和特定FCI组件中的FCI实施的证据有限.
- 2型糖尿病 (T2DM) 需要有效的自我管理教育,包括足部护理.
研究的目的:
- 为T2DM患者提供由CHW (FIne-CHWs) 提供的足部护理干预的核心组成部分进行精细化.
- 分析Delphi小组成员对FIne-CHWs的核心组件的意见.
- 探索影响印尼CHW实施FCI的因素.
主要方法:
- 一个德尔菲演习,涉及22名来自印度尼西亚的糖尿病专家.
- 来自范围审查,映射审查和采访的数据三角化,以确定42个初始陈述.
- 德尔菲调查的自由文本答案的主题分析.
主要成果:
- 在FIne-CHWs的42个确定核心组件中,在41个方面达成了共识.
- 确定的一个关键主题是CHWs的志愿者地位.
- 新兴的主题包括CHWs的普遍足部护理教育,报酬/激励以及社区FCI的灵活性.
结论:
- 针对T2DM患者的FIne-CHW的核心组件已成功完善.
- 印度尼西亚医疗保健系统中医疗保健工作者的角色和地位对计划实施构成潜在障碍.
- 解决CHW的报酬,激励和灵活性对于有效的FCI交付至关重要.
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