关于低收入和中等收入国家 (LMICs) 神经关键病房标准的共识声明
Gentle S Shrestha1, Hemanshu Prabhakar2, Charu Mahajan2
1Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal; Australian and New Zealand Intensive Care Research Centre (ANZIC-RC), School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
在低收入和中等收入国家 (LMICs) 开发神经临床护理单位 (NCCU) 需要定制的标准. 这份共识声明提供了特定于背景的建议,以改善LMIC中神经临床护理.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 关键护理医学 关键护理医学
背景情况:
- 严重的神经和神经外科疾病在低收入和中等收入国家 (LMICs) 造成了重大疾病负担.
- 专门的神经临床护理团队可以改善患者的治疗结果.
- 神经临床护理的组织,结构和结果在全球范围内存在差异.
研究的目的:
- 为 LMICs 对神经学重症监护单位 (NCCU) 进行上下文化和调整现有的标准.
- 为在LMICs开发适当的神经临床护理计划提供建议.
- 解决组织,基础设施,人员,物流,培训和教育问题.
主要方法:
- 使用德尔菲方法制定了一个共识声明.
- 一项基于网络的调查适应了NCCU的NCS标准.
- 来自21个LMIC的28名专家参与了协商一致的过程.
主要成果:
- LMIC专家建议一些参数对于1级NCCU至关重要,而NCS认为这些参数是可选的.
- 对于2级和3级ICU,LMIC专家建议许多NCS建议被认为是可选的.
- 根据LMIC背景解释了建议的变化.
结论:
- 定制标准对于在LMICs建立有效的NCCU至关重要.
- 建议要求在实施之前在当地环境中进行可行性测试.
- 将全球标准适应当地环境对于在资源有限的地区推进神经临床护理至关重要.
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