在使用德尔菲方法进行的日本DOTS-A定量和定性调查中,在越南结核患者中开发治疗中断的风险评估项目
1Faculty of Nursing Department of Nursing, Nihon Fukushi University, Tokai 477-0031, Japan.
Nursing reports (Pavia, Italy)
|November 25, 2024
概括
这项研究制定了一项风险评估,以防止在日本治疗越南结核病患者的治疗中断. 关键的风险因素包括身体特征,生活条件和文化理解,指导量身定制的直接观察治疗,短期 (DOTS) 支持.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 社会医学科学 社会医学科学
背景情况:
- 在日本外国出生的个人中,结核病 (TB) 病例不断增加,2019年越南患者的病率最高.
- 在全球范围内,结核病仍然是一个重要的传染病威胁,需要局部控制策略.
- 世界卫生组织的直接观察治疗,短期治疗 (DOTS) 是结核病管理的关键全球战略.
研究的目的:
- 开发一种原始的风险评估工具,用于在越南结核病患者中断治疗.
- 增强针对这一特定人口群体的DOTS计划的有效性.
- 为了解决日本外国出生的结核病患者所面临的独特挑战.
主要方法:
- 采用了德尔菲方法,涉及15名经验丰富的公共卫生护士进行了三轮调查.
- 护士评估了结核病治疗中断风险评估项目草案的内容和表面有效性.
- 研究人员分析了量化内容的有效性,并根据专家反修改了项目.
主要成果:
- 确定了结核病治疗中断的五个关键风险类别:
- 物理特征 物理特征
- 在居住期间的生活背景.
- 处理环境 处理环境
- 了解结核病和接受疾病的理解.
- 文化和价值观的趋势.
结论:
- 对越南结核病患者的支持需要一个多方面的方法.
- 考虑日本患者的生活和社会环境至关重要.
- 了解和整合文化和价值体系对于成功的结核病恢复至关重要.
相关概念视频
Pulmonary Tuberculosis V
170
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
170
Pulmonary Tuberculosis IV
133
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
133
Pulmonary Tuberculosis I
220
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
220
Transmission-based Precautions II: Airborne and Protective Environment
1.2K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.2K
Transmission-based Precautions I: Contact, Enteric, and Droplets
3.5K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.5K


