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4月15日苏丹的战争和血液透析患者:一个横截面研究
Malaz Hassan Dafaalla Idrees1, Moez Mohammed Ibrahim Bashir2, Balqees Abdeen Ahmed Mohamed2
1Faculty of Medicine, University of Khartoum, Khartoum, Sudan. mvlvzhass@gmail.com.
BMC public health
|January 20, 2025
概括
苏丹 苏丹 苏丹 苏丹
科学领域:
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學專業.
- 冲突医学 冲突医学
背景情况:
- 苏丹2023年4月15日苏丹武装部队 (SAF) 和快速支援部队 (RSF) 之间的冲突造成了严重的人道主义危机.
- 医疗保健基础设施正在崩,冲突地区的医院功能不足三分之一.
- 血液透析患者面临极端的风险,包括直接暴力和无法获得基本医疗护理.
研究的目的:
- 评估4月15日战争对苏丹血液透析患者的影响.
- 评估医疗保健获取方面的挑战,身体和心理影响以及这些患者的生活质量.
主要方法:
- 在苏丹四个州的五个中心进行了一项描述性的,横截面的,基于多中心卫生设施的研究.
- 316名血液透析患者使用结构化问卷进行了采访,涵盖人口统计数据,医疗保健准入,身体和心理影响以及生活质量.
- 数据使用SPSS版本26进行了分析,其中包含了针对焦虑和抑郁症的验证秤.
主要成果:
- 战后,74.7%的参与者失业,30.1%的人流离失所.
- 医疗保健的负担能力得分很低 (5.6/10),其中56.9%的人无法定期进行血液透析.
- 65.2%的人经历了医学并发症,62.7%的人表现出显著的焦虑症状,40.5%的人表现出显著的抑郁症状.
结论:
- 战争严重加剧了血液透析患者的痛苦,导致显著的生理和心理健康问题.
- 紧急呼吁停火,以促进人道主义援助,特别是血液透析护理.
- 建议包括增加宣传,为专业护理提供国际合作,以及远程医疗作为冲突中断的应急措施.
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