针对脏衰竭患者健康相关社会需求的干预措施:快速范围审查
Kathryn S Taylor1, Didi Petkiewicz1, Yordanos Tesfai2
1Johns Hopkins School of Nursing, Johns Hopkins University, 525 N. Wolfe St., Baltimore, MD 21205, USA.
International journal of environmental research and public health
|September 27, 2025
概括
在功能衰竭患者中,解决与健康相关的社会需求至关重要. 对于社会支持的干预措施是有希望的,但需要更多的证据来指导有效实施慢性病差异.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社会经济差异显著影响慢性病 (CKD) 的进展和结果,特别是在衰竭患者中.
- 未满足的与健康相关的社会需求 (HRSN) 加剧了这些差异,但解决这些差异的指导是有限的.
- 这项研究解决了需要基于证据的策略来管理HRSN在功能衰竭人群的需要.
研究的目的:
- 识别和描述旨在解决HRSN的脏衰竭患者的干预措施.
- 为实施有效的HRSN干预提供指导.
主要方法:
- 根据既有方法进行了根据既有方法进行的快速范围审查.
- 在多个数据库 (Embase,PubMed,CINAHL,SCOPUS,PsychInfo) 进行了自2013年以来发表的文章和摘要的搜索.
- 用RE-AIM框架 (覆盖范围,有效性,采用,实施,维护) 进行了针对HRSN的干预措施的综合和描述,这些干预措施是根据CMS Accountable Health Communities HRSN查工具所定义的.
主要成果:
- 该审查确定了八个来源,描述了HRSN对功能衰竭患者的干预措施,其中六个侧重于社会支持,一个侧重于粮食不安全,一个侧重于交通.
- 针对社会支持的试点研究表明,招聘和保留率很高,这表明可行性.
- 一项关于对患有功能衰竭的青少年的社会支持的研究产生了关于社会排斥的负面结果,突出了进一步研究的需要.
结论:
- 在基于证据的指导中,对于治疗功能衰竭中HRSN的干预措施存在重大差距.
- 目前有限的数据表明,社会支持干预措施可能是可行的和可接受的这一群体.
- 需要进一步的研究来开发和严格评估有效解决HRSN和减少功能衰竭护理差异的干预措施.
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