在尼泊尔解决慢性病:从证据到行动
Shiva Raj Mishra1, Suresh Mehata2, Vishnu Khanal1,3
1Nepal Development Society, Bharatpur-6, Chitwan, Bharatpur, Nepal.
Journal of nephrology
|January 29, 2025
概括
慢性病 (CKD) 影响6.2%的尼泊尔人,每年患病率增加. 少数科医生和透析中心强调迫切需要可访问的CKD护理和干预措施.
科学领域:
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學專業.
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 是尼泊尔的一个重大公共卫生挑战.
- 2019年的一项全国性调查显示,CKD的患病率为6.2% (95%CI:5.7-6.6%).
- 在1990年至2021年期间,尼泊尔的CKD年龄标准化患病率每年增加0.11%.
研究的目的:
- 审查尼泊尔CKD的流行病学情况.
- 提出减轻CKD负担的策略.
- 为了识别CKD护理获取的差异.
主要方法:
- 对2019年全国非传染性疾病调查数据的分析.
- 从1990年到2021年对CKD的流行病学趋势的审查.
- 评估医疗保健资源的可用性,包括科医生和血液透析中心.
主要成果:
- 慢性瘤的患病率为6.2%,年龄标准化患病率每年增加.
- 尼泊尔面临脏病专家 (56) 和血液透析中心 (60) 的严重缺口,服务集中在首都.
- 据估计,现有的基础设施仅为需要护理的人口的15%提供服务.
结论:
- 整个护理连续的综合干预对于有效的CKD管理至关重要.
- 策略必须包括健康教育,查,生活方式改变,以及改善获得置换疗法的机会.
- 解决性别和社会经济差异对于公平的CKD治疗机会至关重要.
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