巴西的儿科息护理:基于地理地图绘制的生命结束的思考
Esther Angélica Luiz Ferreira1,2, Leandro Saito3,4, Maycon Rodrigo Sarracini4,5
1Department of Medicine at the Federal University of São Carlos (DMed UFSCar), São Carlos, SP, Brazil. estherferreira@ufscar.br.
Research in health services & regions
|November 28, 2024
概括
巴西的儿科息护理 (PPC) 接入受到服务分配不均和资源缺口的限制. 许多服务缺乏必要的团队,难以获得阿片类药物,不提供丧亲支持,阻碍了儿童的终身护理.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 在生命末期的护理.
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 巴西的地理差异为获得儿科息治疗 (PPC) 造成了重大障碍.
- 难以获得PPC服务的挑战使巴西儿童的终身护理复杂化.
- 这项研究反映了PPC儿童的终身护理,并建立在国家制图倡议的基础上.
研究的目的:
- 分析巴西儿科息护理服务的现状.
- 确定为接受息治疗的儿童提供终身护理的障碍和挑战.
- 为改善巴西PPC可访问性和质量的战略提供信息.
主要方法:
- 一项使用在线调查研究的描述性,横截面研究.
- 数据是作为一个更大的息护理网络研究的一部分收集的.
- 分析了巴西90个儿科息护理服务.
主要成果:
- 儿科息护理服务在巴西分布不均. 在巴西,儿童息护理服务分布不均.
- 许多服务部门缺乏最低要求的团队.
- 40%的服务报告难以获得阿片类药物,33%的服务不提供丧亲护理.
结论:
- 提高 PPC 服务的可用性和公平分配至关重要.
- 建立最低团队要求对于适当的儿科生命终端护理至关重要.
- 需要加强症状管理,悲伤支持,持续教育和增加管理重点.
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