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在卢旺达,裂口形儿童的裂口手术的障碍和延迟:一种定性研究
Esperance Mukanahayo1, Olive Umugwaneza2, Pierrette Ngutete Mukundwa2
1Center for Equity in Global Surgery, University of Global Health Equity, Kigali, Rwanda emukanahayo@gmail.com.
BMJ open
|January 6, 2026
概括
卢旺达裂手术的延迟源于多方面的障碍,包括有限的认识,获取问题和系统性挑战. 解决这些问题需要改进识别,培训和综合护理,以提高患者的治疗结果.
科学领域:
- 全球健康 全球健康
- 手术护理 手术护理
- 定性研究是指质量研究.
背景情况:
- 及时进行裂口手术对于健康和心理社会福祉至关重要.
- 裂口手术的延迟在卢旺达等低收入和中等收入国家普遍存在.
- 卢旺达出现这些延误的原因尚不清楚.
研究的目的:
- 探索导致卢旺达裂手术延迟的因素.
- 利用已建立的四次延迟框架来指导调查.
主要方法:
- 从2024年4月到7月进行了一项现象学定性研究.
- 与15名护理人员和14名医疗保健提供者进行了29次深入采访.
- 用MAXQDA进行了对成绩单的专题分析,以四次延迟框架为指导.
主要成果:
- 确定了六个主要主题和15个与裂口手术延迟相关的子主题.
- 障碍包括护理人员意识有限,文化信仰和不一致的提供者知识.
- 接入问题 (距离,交通) 和系统问题 (劳动力短缺,基础设施) 显著延迟了护理.
- 患者因素 (营养) 和缺乏后续服务也造成了影响.
结论:
- 卢旺达的裂口手术延迟是多因素的,影响所有护理阶段.
- 加强早期识别,提高公众意识和提供者培训至关重要.
- 建议在国家计划和加强卫生系统中整合裂护理.
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