在印度农村环境中为儿童肺炎寻求护理的决定因素和经验:混合方法研究
Barsha Gadapani Pathak1,2, Sarmila Mazumder1, Yasir Bin Nisar3
1Society for Applied Studies, New Delhi, India.
概括
在印度农村,大多数护理人员寻求儿童肺炎的医疗护理,但许多人咨询非注册医疗从业者 (非RMP),延迟有效的治疗. 较高的母亲教育和财富提高了获得适当护理的机会.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 儿童健康 儿童健康
背景情况:
- 肺炎是印度五岁以下儿童死亡的主要原因,每年有数百万例.
- 诸如财政限制,缺乏意识和对公共设施的不信任等障碍,阻碍了对儿童肺炎的及时和适当的护理.
- 偏好非注册医疗从业者 (非RMP) 是延迟有效治疗的一个重要因素.
研究的目的:
- 探索印度农村儿童肺炎的护理寻求行为.
- 确定与适当的医疗保健接入相关的社会人口因素.
- 了解进入及时有效的肺炎管理的障碍.
主要方法:
- 哈里亚纳邦帕尔瓦尔区的一项混合方法研究,涉及9593名五岁以下儿童的横截面调查和定性深度访谈.
- 使用后勤回归分析的定量数据;使用三次延迟模型进行主题分析的定性数据.
- 在整个形成阶段,社区参与,为实施战略提供信息.
主要成果:
- 在231例疑似肺炎病例中,97%的人寻求治疗,但71%的人咨询了非RMP,只有3.6%的人访问了政府设施.
- 寻找适当的护理与更高的母亲教育 (AOR 6.5) 和财富指数 (AOR 1.7) 有关.
- 关键障碍包括症状误解,家庭补救措施,财务问题,性别偏见,对公共卫生保健的不信任以及后勤挑战.
结论:
- 由于提供者偏好和系统性障碍,儿童肺炎的高寻求护理率不能保证适当的治疗.
- 提高认识,建立对公共卫生保健的信任,加强前线卫生工作者参与度至关重要.
- 结构化的社区参与对于完善和维持有效的肺炎管理策略至关重要.
相关概念视频
01:30Pneumonia I: Introduction
190
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
190
01:30Pneumonia III: Complications and Assessment
123
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
123
01:30Pneumonia V: Nursing management and Prevention
1.7K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.7K
01:30Specialized Care Centers and Settings-II
679
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
679
01:28Pneumonia IV: Management
269
The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
269
01:29Pneumonia II: Pathophysiology
189
The pathophysiology of pneumonia involves the following steps:
189