在埃塞俄比亚利用息护理服务的障碍和促进因素:定性系统审查,2025年
Sadik Abdulwehab1, Frezer Kedir2
1School of Nursing, Wollega University, Oromia, Ethiopia.
PloS one
|August 4, 2025
概括
在埃塞俄比亚,由于系统和社会障碍,人们对息护理的获取是有限的. 改进政策,教育和社区参与可以提高其利用,以更好地管理末期疾病.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 定性研究综合 定性研究综合
背景情况:
- 息治疗对于末期疾病管理至关重要,但在埃塞俄比亚等低收入和中等收入国家没有充分利用.
- 系统性,社会和政策障碍阻碍了埃塞俄比亚利用息护理服务.
研究的目的:
- 探索和综合埃塞俄比亚利用息护理服务的障碍和促进因素.
- 为制定有效的干预措施和政策框架提供信息.
主要方法:
- 根据PRISMA 2020和PRISMA-Q指南进行定性系统审查.
- 综合数据库搜索有关息护理服务的文章.
- 发现的专题综合和GRADE-Confidence in the Evidence from Reviews of Qualitative Research (CERQual) 用于证据评估,对质量研究 (CERQual) 的证据的信心.
主要成果:
- 确定了五个主要障碍:政策缺口,卫生系统挑战,知识缺口,社会文化/经济限制和合作不足.
- 确定了五个关键促进者:社区/家庭支持,提供者动机,融入教育,整体模型和利益相关者参与.
- 四个主题被赋予高信任度,表明有意义和适用的发现.
结论:
- 埃塞俄比亚缓和护理的不足利用是由结构性,教育和社会文化挑战驱动的.
- 现有的促进者为政策改革和干预设计提供了途径.
- 通过政策,劳动力发展和社区参与来解决障碍,这对于平等获得优质息护理至关重要.
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