低收入和中等收入国家的临床护理研究:叙事性综述
Jorge I F Salluh1, Filipe Amado2, Luigi Pisani3,4
1Critical Care, D'Or Institute for Research and Education, Rio de Janeiro, Rio de Janeiro, Brazil jorge.salluh@idor.org.
Thorax
|December 12, 2025
概括
在资源较少的环境中,关键疾病研究面临重大障碍. 增加对重症监护研究和基础设施的投资对于改善患者的治疗结果和解决全球健康差异至关重要.
科学领域:
- 全球健康 全球健康
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 危急疾病是一个重大的全球卫生挑战,特别影响低收入和中等收入国家 (LMICs),因为医疗保健资源有限.
- 医疗保健基础设施和重症监护服务往往在资源较低的环境中受到限制,这阻碍了患者护理和研究.
- 对于制定有效的医疗保健政策和针对资源有限的环境量身定制的临床指南,当地相关的证据至关重要.
研究的目的:
- 探索在低资源环境中关键护理研究的动态.
- 识别和分析影响重症监护研究交付的社会经济,人口和结构障碍.
- 突出研究在克服差异和改善LMIC中重症患者的治疗结果方面的重要性.
主要方法:
- 这项研究采用了叙事审查方法.
- 该综述综合了关于重症监护研究挑战和LMICs发现的现有文献.
- 分析的重点是重症监护服务的障碍及其对临床研究的影响.
主要成果:
- 显著的社会经济,人口和结构障碍阻碍了LMICs的重症护理研究.
- 适应高收入国家建议需要在当地产生证据.
- 研究结果检查了LMIC中各种重症监护领域的研究结果.
结论:
- 在LMICs中,迫切需要对重症监护研究和基础设施进行持续投资.
- 解决健康差异需要加强当地研究能力和能力.
- 改善关键护理研究对于改善资源有限的环境中患者的治疗结果至关重要.
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