基于社区的儿科息护理:对结构,过程和结果的系统审查
Sergio Andres Acuña-Caicedo1, Aura Gisela González-Brossard2, Laury Ellen Pérez-González2
1Universidad El Bosque, Bogotá, Colombia.
Jornal de pediatria
|February 3, 2026
概括
基于社区的儿科息护理 (PPC) 模式提高了儿童和家庭的生活质量. 医院以外的综合医疗,心理社会和社会支持是改善结果的关键.
科学领域:
- 儿科缓和护理 儿科缓和护理
- 医疗保健服务研究 医疗服务研究
- 以家庭为中心的护理
背景情况:
- 基于社区的儿科息护理 (PPC) 模式越来越多地被认为是对儿童和家庭的支持.
- 现有的文献缺乏对这些不同模型的结构,过程和结果的全面分析.
研究的目的:
- 系统地审查和分析各种基于社区的儿科息护理模型的结构,过程和结果.
- 确定在传统医院环境之外提供息护理的共同要素和最佳实践.
主要方法:
- 按照PRISMA指南对来自MEDLINE和Embase的原始全文研究进行系统审查 (2014年1月至2024年5月).
- 使用已知工具进行数据提取和质量评估 (纽卡斯尔-太华尺度,STROBE,COREQ,CARE).
- 使用Donabedian框架 (结构,过程,结果) 组织的叙事综合.
主要成果:
- 26项高质量的研究确定了多样化的社区PPC模型 (家庭,门诊,社区中心).
- 共同的结构包括多学科团队,远程医疗和查工具;核心过程包括家庭访问,护理人员教育,症状监测和专业间协调.
- 报告的关键结果是减少住院,改善症状控制,提高生活质量,提高护理人员满意度,减少育儿压力,尽管这些措施是异质的.
结论:
- 综合社区基础的PPC,结合医疗,心理和社会资源,显著提高了儿童和家庭的生活质量.
- 取得进展需要验证的结果措施,可持续的资金,劳动力发展和支持性的政策框架.
相关概念视频
Community Based Intervention
483
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
483
What are Populations and Communities?
37.9K
Overview
37.9K
Chromatin Structure Regulates pre-mRNA Processing
8.2K
In eukaryotic cells, nascent mRNA transcripts need to undergo many post-transcriptional modifications to reach the cell cytoplasm and translate into functional proteins. For a long time, transcription and pre-mRNA processing were considered two independent events that occur sequentially in the cell. However, it has now been well established that transcription and pre-mRNA processing are two simultaneous processes that are precisely regulated inside the cell.
The chromatin structure, especially...
The chromatin structure, especially...
8.2K
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.4K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.4K
Outcomes of Glycolysis
107.3K
Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
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...
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...
107.3K


