澳大利亚和新西兰儿童有问题的严重喘服务的显著变化
Ajay Kevat1,2, Samuel Dalton3, Bernadette Goddard4
1Department of Respiratory and Sleep Medicine, Queensland Children's Hospital, Brisbane, Australia.
Journal of paediatrics and child health
|September 22, 2025
概括
在澳大利亚和新西兰,患有严重喘的儿童由于各种服务而面临不一致的护理. 大多数中心缺乏多学科团队 (MDTs),影响管理和过渡到成人护理.
科学领域:
- 儿科呼吸系统医学 儿科呼吸系统医学
- 严重喘管理 严重喘管理
- 提供医疗保健服务 提供医疗保健服务
背景情况:
- 严重的喘影响了澳大利亚和新西兰 (NZ) 超过10%的儿童,造成了重大管理挑战.
- 这些儿童的一小部分 (高达5%) 患有有问题的严重喘 (PSA),需要专门照顾.
研究的目的:
- 调查澳大利亚和新西兰的儿科呼吸系统服务.
- 评估患有有问题的严重喘 (PSA) 的儿童患病率.
- 评估生物疗法,多学科团队 (MDT) 服务,调查和过渡护理过程的可用性.
主要方法:
- 一个采用定制设计的在线调查进行的横截面观测研究.
- 该调查分发给澳大利亚和新西兰14家公共儿科呼吸服务机构的董事.
- 数据收集发生在三个月的时间里,定期通过电子邮件提醒.
主要成果:
- 所有14个地点都对调查做出了回应.
- 据估计,在12个地点观察到561名PSA儿童,其中53人接受了生物治疗.
- 大多数地点 (8/14) 缺乏MDT方法,在一般或喘诊所管理患者. 只有4/14个地点建立了过渡到成人护理的流程.
结论:
- 在澳大利亚和新西兰的第三级中心中,服务可用性和PSA管理存在显著的异质性.
- 大多数中心缺乏MDT护理模式,这与PSA管理的国际最佳实践标准有所不同.
- 患有PSA的儿童可能会根据他们的地理位置而有不同的护理质量.
更多相关视频
11:13Collection, Expansion, and Differentiation of Primary Human Nasal Epithelial Cell Models for Quantification of Cilia Beat Frequency
Published on: November 10, 2021
4.7K
05:15Author Spotlight: Assessing the Feasibility of Using Amplitude-Integrated EEG During Neonatal Transport
Published on: June 21, 2024
1.2K
相关概念视频
Asthma-II: Pathophysiology and Classification
Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
Asthma-III: Symptoms and Complications
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
Asthma-IV: Diagnostic and Management
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-IV: Nursing Management
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
Asthma I: Introduction
Asthma is a chronic inflammatory disorder of the airways characterized by variable airflow obstruction and heightened bronchial responsiveness to a wide range of triggers. The underlying inflammation leads to airway swelling, mucus hypersecretion, and smooth muscle constriction, all of which narrow the airway lumen and impede airflow. Clinically, asthma presents with recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing, symptoms that typically vary in intensity and...
Asthma III: Clinical Manifestations
Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...
