印度农村的护理连续性和神经发育结果:一项宏观的队列研究
1Pediatrics and Neonatology, KD Medical College Hospital and Research Center, Mathura, IND.
结构化的后续计划比标准的门诊护理更有效地改善有障碍的儿童的神经发育结果. 加强执法和早期识别是农村地区更好的结果的关键.
科学领域:
- 儿科 儿科 儿科
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
背景情况:
- 神经发育障碍 (NDI) 导致严重的儿童残疾,特别是在农村地区,获得护理的机会有限.
- 分散的护理和延迟的诊断会对这些环境中的发展轨迹产生负面影响.
- 了解影响治疗反应的因素对于优化治疗结果至关重要.
研究的目的:
- 为了比较结构化后续计划中的儿童与门诊部门 (OPD) 之间的神经发育结果.
- 评估坚持治疗,心理社会因素和获得医疗保健对治疗反应的影响.
- 确定儿童中轻度至中度NDI改善的预测因素.
主要方法:
- 从73名患有围产期风险因素和NDI的儿童收集了回顾性和前性数据.
- 评估神经发育分数 (NDS),智商,行为特征和心理社会因素.
- 对改善预测指标的坚持,医疗保健准入和后勤回归的分析.
主要成果:
- 随访队列显示明显更好的改善 (85%与41%实现≥20%的症状减少).
- 随访组在智商和学业表现方面表现出收益,与OPD组不同 (主要是行为).
- 在OPD队伍中,心理社会逆境,贫血和较低的坚持率较高.
结论:
- 结构化的后续计划产生更稳定和全面的神经发育收益.
- 缺乏坚持,心理社会逆境和延迟识别阻碍了OPD护理的结果.
- 持续护理和护理人员意识对于优化农村人口神经发育结果至关重要.
更多相关视频
05:53Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
08:10Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy NIRS Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa
Published on: February 2, 2018
相关概念视频
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Predicting Reaction Outcomes
Outcomes of Glycolysis
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
