干净的间歇性导管在脊椎裂变儿童的实践:一个范围审查
Denis Nono1,2, Andrew S Ssemata1,2, Femke Bannink Mbazzi1,2,3
1Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, United Kingdom.
African journal of disability
|July 11, 2025
概括
在低收入国家,干净的间歇性导管 (CIC) 治疗脊椎裂的管理面临诸如疼痛和缺乏供应等障碍. 促进者包括早期启动,医疗保健支持和家庭参与.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 康复医学 康复医学 康复医学
- 全球健康 全球健康
背景情况:
- 脊柱裂是先天的神经管缺陷,影响膀功能并导致尿失禁.
- 干净间歇性导管 (CIC) 是影响儿童膀和肠道功能障碍的主要管理策略.
- 了解CIC实践中的挑战对于改善资源有限的环境中的护理至关重要.
研究的目的:
- 系统地审查现有证据,以促进和障碍的干净间歇性导管 (CIC) 在儿童脊柱裂的使用.
- 确定影响低收入国家的CIC成功实施和实践的因素.
- 为未来的干预和研究提供信息,旨在优化对这一群体的CIC管理.
主要方法:
- 在主要数据库 (PubMed,科学网,SCOPUS) 进行了全面的文献搜索.
- 研究选择遵循PRISMA-ScR指导方针,重点关注与脊柱裂,禁欲管理,CIC,障碍和低收入国家相关的文章.
- 在经过严格的选和资格评估后,在2004年至2023年间发表的十篇相关的英语文章被纳入.
主要成果:
- 对CIC实践的主要障碍包括导管插入时的疼痛,社会耻辱,缺乏可访问的所,以及获得供应和培训的困难.
- 已确定的促进者是婴儿期早期启动CIC,医疗保健提供者的持续跟进,以及强有力的家庭和社区支持.
- 有效的培训,滑剂的使用,以及导管和低成本材料的再利用也成为了重要的促进因素.
结论:
- 低收入国家的CIC有效管理需要解决已识别的障碍,并利用已识别的促进者.
- 未来的研究应该优先考虑家庭成员和社区康复工作人员的参与,以加强CIC的实践.
- 本综述提供了关于在资源有限的环境中优化脊柱裂儿童的CIC的关键见解.
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