低收入和中等收入国家的围产期息护理:一个范围审查
Sharla Rent1, Daniela Titchiner2, Erin Rholl3
1Department of Pediatrics, Duke University School of Medicine, Durham, NC, USA; Duke Global Health Institute, Durham, NC, USA.
Annals of palliative medicine
|December 5, 2024
概括
围产期息护理在资源较少的环境中没有得到充分的研究,但对于支持新生儿死亡或死产的家庭至关重要. 全球需要加强培训和文化相关的指导方针.
科学领域:
- 围产儿医学 围产儿医学
- 抚慰性护理是一种缓解性护理.
- 全球健康 全球健康
背景情况:
- 每年新生儿死亡率和死产率高,主要发生在低收入和中等收入国家.
- 全球范围内对围产期息和心理社会护理的获取和研究有限.
- 在支持面临围产损失的家庭和医疗保健提供者方面存在重大未满足的需求.
研究的目的:
- 综合现有的关于低收入和中等收入国家围产期息护理的文献.
- 在资源有限的环境中确定围产期息护理的临床实践和教育模式.
- 突出目前围产期息护理的缺口和需求.
主要方法:
- 按照PRISMA-ScR指南进行系统范围审查.
- 在多个数据库 (PubMed,Scopus,Embase,Cochrane,CINAHL,全球卫生) 中进行全面搜索.
- 包括没有日期或语言限制的研究,通过Covidence进行选择.
主要成果:
- 分析了81项研究,重点关注临床护理 (44),家长/家庭经验 (28) 和提供者培训 (9).
- 大多数研究的作者来自低收入和中等收入国家,这表明本地相关性.
- 医疗保健工作者和家属希望有文化敏感的指导方针,并改善围产期息护理的培训.
结论:
- 围产期息护理的全球战略必须优先考虑富有同情心的沟通和对家庭的心理社会支持.
- 对医护人员的情感和心理健康支持至关重要.
- 需要文化适应和资源适当的围产期息护理干预措施.
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