引导中风护理的多元文化建议:对国际中风指南的文档审查
Shegaw Zeleke1,2,3, Peta Drury1, Sabine M Allida1,2
1School of Nursing, University of Wollongong, NSW, Australia (S.Z., P.D., S.M.A., C.F.).
Stroke
|July 28, 2025
概括
大多数国际中风指南缺乏文化建议,影响了不同人群的公平护理. 整合文化因素对于改善中风结果和确保文化安全的医疗保健至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 临床指南 临床指南
背景情况:
- 脑卒中不成比例地影响着各种人群,往往导致更糟糕的结果.
- 现有的中风指南对于基于证据的护理至关重要,但可能缺乏文化敏感性.
- 在国际中风指南中包含文化因素的含义并未得到充分理解.
研究的目的:
- 系统地审查国际中风指南的文化相关建议.
- 评估指导方针在多种人群中支持公平的中风护理的程度.
- 在当前的中风护理指南中发现文化考虑的差距.
主要方法:
- 2019年6月至2024年5月期间发表的英语版国际中风指南的文档审查.
- 结构化的搜索策略,独立的选和数据提取由配对审稿人.
- 使用研究和评估指南评估II (AGREE II) 工具对指南质量的评估.
主要成果:
- 在24个指南中,只有3个 (12%) 包含了与文化有关的建议.
- 在2991个推中只有6个 (0.2%) 解决了整个中风护理连续性的文化考虑.
- 大多数确定的文化建议得到了低到中等质量的证据的支持.
结论:
- 绝大多数 (88%) 的国际中风指南缺乏必要的文化建议.
- 整合文化因素对于实现文化安全和公平的中风护理至关重要.
- 未来的研究应该调查将文化建议纳入中风指南中的障碍和促进因素.
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