在农村国家确定截肢预防的挑战,采用混合方法研究,让患者和提供者参与
Samantha D Minc1, Megan Lauris2, Kelsey Murray3
1Division of Vascular and Endovascular Surgery, West Virginia University School of Medicine, Morgantown, WV; Division of Vascular and Endovascular Surgery, Duke University, Durham, NC.
Journal of vascular surgery
|July 10, 2025
概括
农村截肢率与地理差异,缺乏教育和进入障碍有关. 需要有针对性的干预措施来改善缺少服务的人群的肢体保护.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 截肢预防是一个关键的公共卫生问题,特别是在资源有限的农村地区.
- 地理差异和社会经济因素显著影响健康结果,包括截肢率.
研究的目的:
- 在农村国家确定截肢预防的障碍和促进者.
- 整合空间流行病学,回归分析和定性方法,以了解截肢差异.
主要方法:
- 西弗吉尼亚州的连续解释混合方法研究.
- 使用贝叶斯空间层次模型和多变量回归的医院出院数据的定量分析.
- 与患者,护理人员和提供者进行定性访谈和焦点小组;主题分析.
主要成果:
- 截肢率在地理上聚集在一起,农村地区的风险更高,对于那些患有外围动脉疾病并发症糖尿病的人来说,以及医疗补助保险.
- 关键主题包括缺乏教育,获得/护理协调障碍,农村地理/文化挑战以及治疗不坚持.
- 66名参与者为定性发现做出了贡献.
结论:
- 复杂,相互关联的因素导致农村地区的截肢差异.
- 干预措施应侧重于提供者/患者教育,护理协调,心理健康支持和文化基础上的参与.
- 结果提供了一个框架,以减少缺少服务的人群的截肢率.
相关概念视频
Peripheral Artery Disease III: Interprofessional Care
32
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
32
Peripheral Artery Disease V: Postoperative Nursing Management
28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28
Peripheral Artery Disease IV: Nursing Management
46
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
46


