健康的社会决定因素影响儿科患者的长期烧伤护理
Katherine Bergus1, Sydney Castellanos2, Taha Akbar1
1Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205 USA.
概括
缺乏初级保健提供者 (PCP) 或需要手术的儿科烧伤患者更有可能错过关键的门诊随访预约,这可能会影响烧伤恢复. 解决健康的社会决定因素是关键.
科学领域:
- 儿科烧伤护理 儿科烧伤护理
- 健康的社会决定因素
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 门诊随访对于优化儿科烧伤患者的治疗结果至关重要.
- 健康的社会决定因素 (SDH) 显著影响家庭参加后续预约的能力.
- 这项研究调查了SDH和错过的门诊烧伤随访之间的关联,假设那些错过的预约的烧伤相关结果较差.
研究的目的:
- 确定与儿科烧伤患者遗漏门诊随访预约相关的健康的社会决定因素.
- 为了确定错过预约对烧伤相关结果的影响.
- 为旨在改善后续遵守的干预措施提供信息.
主要方法:
- 在2021-2022年期间入院的儿科烧伤患者 (<18岁) 的回顾性队列研究.
- 收集的数据包括人口统计,伤害细节,SDH评估和伤害后并发症.
- 多变量回归分析被用来确定错过随访的独立预测因素.
主要成果:
- 在322名儿科烧伤患者中,有46%的人错过了至少一次门诊预约.
- 错过随访的独立预测因素包括缺乏初级保健提供者 (PCP) (aOR 6.10) 和需要手术烧伤管理 (aOR 3.13).
- 错过预约的患者也更有可能接触到烟草/非法物质.
结论:
- 缺乏PCP和需要手术干预是儿童烧伤患者错过门诊随访的重要预测因素.
- 需要有针对性的干预措施,包括在出院前建立PCP护理,以改善后续遵守.
- 解决SDH对于优化儿科烧伤幸存者的长期结果至关重要.
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