儿科重症监护的挑战与策略:低资源环境的启示。

IF 1.4 Q3 PEDIATRICS Global Pediatric Health Pub Date : 2024-09-24 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241285964
Gbolahan Olatunji, Emmanuel Kokori, Nicholas Aderinto, Anoud Abdul, Vincent Tsoi, Lamyaa Mohamed, Mohammed Alsabri Hussein Alsabri
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引用次数: 0

摘要

背景。在资源匮乏的环境中,儿科重症监护面临着基础设施不足、人员有限、资金限制和文化因素等挑战,导致重症患儿的治疗效果不佳。方法。本综述综合了两篇文章中关于中低收入国家(LMICs)儿科重症监护病房(PICUs)的信息。它指出了诸如高额护理成本、文化偏好和资源分配问题等挑战。结果。挑战包括护理的经济负担、资源有限以及需要外部资助。家庭偏好影响医疗决策,导致伦理困境。资源分配问题影响患者的治疗效果,包括诊断延迟和高死亡率。结论。要应对这些挑战,需要政府、医疗服务提供者和国际利益相关者多管齐下。标准化护理、投资基础设施和培训以及促进合作对于改善儿科危重症护理和确保公平就医至关重要。
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Challenges and Strategies in Pediatric Critical Care: Insights From Low-Resource Settings.

Background. Pediatric critical care in low-resource settings faces challenges like inadequate infrastructure, limited personnel, financial constraints, and cultural considerations, leading to poor outcomes for critically ill children. Methods. This review synthesizes information from 2 articles on pediatric intensive care units (PICUs) in low- and middle-income countries (LMICs). It identifies challenges such as high care costs, cultural preferences, and resource allocation issues. Results. Challenges include the financial burden of care, limited resources, and the need for external funding. Family preferences impact healthcare decisions, leading to ethical dilemmas. Resource allocation issues affect patient outcomes, including delayed diagnoses and high mortality rates. Conclusion. Addressing these challenges requires a multifaceted approach involving governments, healthcare providers, and international stakeholders. Standardizing care, investing in infrastructure and training, and promoting collaboration are essential to improving pediatric critical care and ensuring equitable access.

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来源期刊
Global Pediatric Health
Global Pediatric Health Nursing-Pediatrics
CiteScore
2.20
自引率
0.00%
发文量
105
审稿时长
12 weeks
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