在越南实施儿科息护理:初步经验和教训
Miranda R Adelmann1, Huyen Thi Thanh Bui2, Mevhibe Hocaoglu3
1Massachusetts General Hospital (M.R.A.), Boston, Massachusetts, USA.
Journal of pain and symptom management
|November 13, 2025
概括
越南的第一个儿科息护理 (PPC) 计划,一个低收入和中等收入国家,成功地为169名儿童提供了心理社会支持和疼痛管理. 这个程序是这个程序.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球范围内存在着儿童息治疗 (PPC) 的大量未满足需求,特别是在低收入和中等收入国家 (LMICs).
- 越南是一个新兴经济体,拥有新兴的息护理景观,突出了基础PPC服务的需要.
- 2017年在越南一家大型儿童医院建立PPC计划旨在解决这一差距.
研究的目的:
- 记录越南第一个PPC计划的开发和运营框架.
- 评估这项开创性计划中最初的服务范围和患者结果.
- 为其他LMICs建立类似计划提供见解.
主要方法:
- 追溯的横截面研究设计,分析了PPC住院咨询服务在18个月内看过的患者.
- 对患者人口统计,临床资料和生命终结结果的描述性统计分析.
- 包括所有年龄在0-15.6岁之间的患者,这些患者被转介到PPC服务.
主要成果:
- 169名儿童接受了PPC咨询,常见的诊断包括癌症,创伤和先天性综合征.
- 心理社会支持是主要干预措施 (70%),其次是疼痛管理 (28%).
- 值得注意的是,该研究中没有癌症患者在住院期间死亡.
结论:
- 通过战略合作伙伴关系,员工教育和文化适应,PPC计划实现了高利用率和数量.
- 早期的研究结果表明,可以减少诸如化疗和心肺复苏等生命终端干预措施的可能性.
- 该计划的经验为在资源有限的环境中开发新的PPC计划提供了宝贵的教训.
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