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在自然灾害期间为慢性疾病管理提供基于社区的解决方案:系统审查
Aditi Iyer1, Arthur Bookstein2, Giselle Kim2
1Department of Neuroscience, Duke University Trinity College of Arts & Sciences, Durham, North Carolina, United States of America.
PLOS global public health
|August 1, 2025
概括
基于社区的解决方案对于在极端天气事件期间管理慢性疾病至关重要. 本次审查强调了患者教育,药物管理和数字健康干预措施的关键建议.
科学领域:
- 公共卫生 公共卫生
- 环境健康 环境健康
- 慢性疾病管理 慢性疾病管理
背景情况:
- 全球慢性疾病的增加和气候变化相关的极端天气事件需要综合危机管理策略.
- 自然灾害通过增加生理压力和限制获得医疗保健,食物,住所和药物来破坏关键的慢性疾病护理.
- 基于社区的解决方案提供了一种关键的方法来减轻这些健康风险,特别是在服务不足的人群和低资源环境中.
研究的目的:
- 系统地审查和确定社区干预措施的关键建议.
- 在极端天气事件期间支持慢性疾病管理.
主要方法:
- 在Embase,PubMed和谷歌学者中进行了全面的系统文献搜索.
- 文章选择使用了PRISMA准则,Joanna Briggs研究所的批判性评估工具评估了研究质量.
- 采用叙事综合方法,从19个国家的46项符合条件的研究中提取主题.
主要成果:
- 该审查确定了九个关键主题,即在极端天气事件期间为慢性疾病管理提供社区解决方案.
- 干预措施经常侧重于患者教育,确保药物管理的连续性,促进利益相关者的合作,并利用数字健康工具.
- 发现的一个重大局限是数量数据的最低可用性,这强调了需要进一步研究的需要.
结论:
- 基于社区的干预措施对于在极端天气事件中保持慢性病护理连续性至关重要.
- 建议强调患者教育,药物获取,协作努力和数字健康整合.
- 进一步进行定量研究至关重要,以加强有效的社区战略的证据,为慢性疾病患者做好灾难准备.
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