导航-脏的适应:社区卫生工作者对患有脏疾病的人进行干预
Lilia Cervantes1, Katherine Rizzolo2,3, Julie Ressalam4
1Department of Medicine, University of Colorado, School of Medicine, Aurora, Colorado, USA.
Kidney international reports
|January 16, 2026
概括
社区卫生工作者干预,如Navigate-Kidney,可以改善拉丁裔患有功能衰竭的患者的自我管理. 调整该计划解决障碍,改善健康结果.
科学领域:
- 实施科学 实施科学
- 健康差异 在健康上的差异
- 社区健康 社区健康
背景情况:
- 对于透析依赖性功能衰竭患者来说,患者的自我管理至关重要.
- 拉丁裔人口在自我管理方面面临障碍,包括教育,社会需求和卫生系统导航.
- 社区卫生工作者 (CHW) 的干预可以减少差异,但尚未用于这一群体.
研究的目的:
- 描述Navigate-Kidney CHW干预的适应性,用于血液透析依赖性功能衰竭的拉丁裔个人.
- 解决拉丁裔人口中发现的功能衰竭自我管理方面的差异.
主要方法:
- 使用实施科学 (IS) 方法的社区参与式方法.
- 通过横截面调查,半结构面试和现场观察收集数据.
- 在单臂临床试验中评估适应干预的可行性.
主要成果:
- 需求评估引导了保守护理管理CHW干预措施的调整.
- 与40名参与者进行可行性试验,了解了社会支持,导航,教育和自我管理的需求.
- 随后的一项随机对照试验 (RCT) 显示了更好的透析间体重增加 (IDWG),表明更好的饮食自我管理.
结论:
- 导航-干预成功地适应了拉丁裔个体的透析依赖功能衰竭.
- 实施科学方法提高了干预的有效性和普及率,减少了脏健康差异.
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