以人为中心和以青年为导向的干预措施来改善结核病 青少年和年轻成年人的结核病护理
Patricia Waterous1, Rudo Chingono2, Constance Mackworth-Young2,3
1Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, United Kingdom.
PLOS global public health
|November 15, 2024
概括
患有结核病 (TB) 的青少年和年轻人 (AYA) 需要针对性干预,解决心理健康,教育和耻辱感. 让AYA参与结核病护理需要以青年为中心的卫生服务和支持性政策,以获得更好的结果.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 传染性疾病 传染性疾病
背景情况:
- 患有结核病 (TB) 的青少年和年轻人 (AYA) 面临着独特的挑战,在历史上得到的关注和量身定制的干预措施有限.
- 改善这一群体的结核病结果需要实施特定的干预措施,但满足AYA需求的研究很少.
研究的目的:
- 探索津巴布韦结核病AYA的需要.
- 确定能够优化AYA参与结核病护理的干预措施.
主要方法:
- 定性研究涉及参与性研讨会,与16名AYA (10-24岁) 诊断出结核病.
- 随后采访了15名AYA,11名医疗保健提供者和9名政策制定者.
- 定性数据的代和主题分析.
主要成果:
- 在各利益相关者群体中确定的主要未满足需求包括心理健康支持和结核病知识,特别是在治疗的早期.
- 成功治疗结核病的重要因素包括家庭支持和教育或就业的连续性.
- 利益相关者一致认为,需要以青年为中心的临床服务,加强医疗保健提供者培训,同行支持和社区教育,以减少耻辱.
结论:
- 需要在AYA的结核病护理方面做出重大改进,需要针对适合环境的干预措施进行一致的投资.
- 从像艾滋病毒倡议这样的成功计划中获得的翻译学习可以为结核病护理策略提供信息.
- 基于证据的干预措施,青少年友好的政策和计划对于提高AYA的结核病结果至关重要.
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