提供优化结核病和糖尿病综合护理的实施策略在LMICs (潜在的):多相顺序和并发混合方法研究的协议
Saima Afaq1,2,3, Zala Zala4,2, Saima Aleem2
1University of York, York, UK saima.afaq@york.ac.uk.
BMJ open
|November 28, 2024
概括
这项研究引入了一套优化的护理方案,以管理巴基斯坦同时发生的结核病 (TB) 和糖尿病. 综合方法旨在改善患者的治疗结果,并减少这些疾病的负担.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
背景情况:
- 巴基斯坦结核病 (TB) 患者中糖尿病和糖尿病前期的高患病率.
- 糖尿病加剧了结核病的结果,增加了疾病负担.
- 需要综合护理策略来管理共存的结核病和糖尿病.
研究的目的:
- 设计和实施一个优化的结核病-糖尿病护理套餐 (Opt-TBD).
- 在巴基斯坦结核病护理机构试点,完善和评估Opt-TBD套餐.
- 改善结核病和糖尿病同时发生的患者的健康,生活质量和经济结果.
主要方法:
- 巴基斯坦Khyber Pakhtunkhwa和Punjab的多阶段混合方法研究.
- 整合Opt-TBD护理包和实施策略的开发和试点.
- 使用Reach,Effectiveness,Adoption,Implementation,and Maintenance (RE-AIM) 框架进行评估,并进行定量和定性数据分析.
主要成果:
- 该研究将评估Opt-TBD套餐的提供者采用,患者可访问性和有效性.
- 定性数据将确定实施和扩大规模的障碍和促进因素.
- 定量数据分析将包括描述和推断统计数据;定性数据将使用框架分析.
结论:
- 综合的Opt-TBD护理套餐旨在优化结核病和糖尿病同时存在的管理.
- 预计成功实施和评估将改善患者的治疗结果,并减少疾病负担.
- 调查结果将为巴基斯坦综合护理模式的潜在扩展提供信息.
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