改善关键护理中的种族和民族平等的干预措施:一个范围审查
Shirley Ge1,2, Hope Lappen3, Luz Mercado2
1Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, United States of America.
PloS one
|November 25, 2025
概括
很少有干预措施来减少种族和民族的差异在重症监护已经评估. 需要进行更严格的研究,以促进重症监护病房 (ICU) 的公平.
科学领域:
- 关键护理医学 关键护理医学
- 卫生公平研究 卫生公平研究
- 在健康方面存在差异.
背景情况:
- 在重症监护和治疗结果方面,种族和民族差异得到了充分证实.
- 缓解这些差异的干预措施被理解得更少.
- 对于促进重症监护过程和结果公平性的干预措施的证据需要审查.
研究的目的:
- 审查目前针对旨在促进重症监护公平的干预措施的证据.
- 识别和分类用于解决差异的干预组件和策略.
主要方法:
- 在四个主要的文献数据库中进行了全面的文献搜索.
- 通过分类组件并按战略分组来分析干预措施.
- 经过严格的选和全文审查,11项研究符合资格标准.
主要成果:
- 在五个类别中确定了十个不同的干预组件:教育,沟通,标准化,重组和推广.
- 大多数研究使用非随机设计来评估干预的有效性.
- 许多研究缺乏明确的理由或有针对性的差异机制.
结论:
- 很少有评估的干预措施来解决重症监护病房 (ICU) 的差异.
- 需要对干预措施进行随机,受控的评估.
- 干预措施应针对已证明的机制,以有效地促进重症监护公平.
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