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在KZN的CKD护理中生活的经验:障碍,促进者和实际现实
Verosha Ramkelawan1, Pretty Mbeje1, Ntombifikile G Mtshali1
1School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Health SA = SA Gesondheid
|October 10, 2025
概括
KwaZulu-Natal的医疗保健提供者面临着管理慢性病 (CKD) 的挑战,原因是不一致的认识,培训缺口和资源限制. 改善早期检测和以团队为基础的护理对于更好的CKD管理在初级医疗保健中至关重要.
科学领域:
- 公共卫生 公共卫生
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健管理的管理
背景情况:
- 慢性病 (CKD) 是南非克瓦祖鲁-纳塔尔 (KZN) 的一个主要的公共卫生问题.
- 艾滋病毒,糖尿病和高血压的高患病率加剧了KZN中CKD负担.
- 社会经济因素限制了获得预防性医疗保健的机会,加剧了KZN的CKD危机,该地区占南非透析患者的20%.
研究的目的:
- 探索医疗保健提供者 (HCP) 在KZN的初级医疗保健 (PHC) 环境中管理CKD的实践经验.
- 识别所感知的障碍,促进者和在PHC层面实施CKD管理的现实.
- 了解影响CKD干预实施和遵循指南的挑战.
主要方法:
- 定性现象学方法. 定性现象学方法.
- 在KZN PHC设置中,与卫生保健人员进行半结构面试.
- 在CKD管理中探索生活经验.
主要成果:
- 关键主题包括不一致的指南意识和遵守,不充分的培训,以及由于资源有限而导致的CKD早期检测的困难.
- 突出了以团队为基础的护理,患者参与以及解决系统/社区层面障碍的重要性.
- 需要加强培训,资源分配和综合护理方法来管理CKD.
结论:
- 在CKD管理中的落实缺口是由有限的认识,不足的培训和系统性障碍驱动的.
- 加强早期检测,能力建设和以团队为基础的护理对于改善PHC中CKD管理至关重要.
- 这项研究为决策者和医疗保健中心管理人员提供了实用的见解,以加强在资源有限的环境中提供CKD护理.
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