■出院通常与缺乏连续性有关,导致护理分散,特别是在低收入国家。由于有关这些国家干预措施的信息有限,并且没有评估出院干预措施有效性的研究,我们进行了范围审查,以确定有效的从医院到家庭的过渡性护理干预措施,并探讨其在低收入国家(苏丹)的适用性.
■我们对系统评价和荟萃分析的范围审查将干预措施归类为有效的,无效,不受欢迎的,或者不确定,根据他们的证据质量和他们对以下结果的估计影响:再入院率,死亡率,成本,生活质量,和不良结果)和证据的确定性。我们来自苏丹的作者使用SUPPORT摘要工具来确定是否可以在苏丹实施三种有效的干预措施。
■在确定的3,276篇文章中,回顾了72篇文章,审查中包含了10篇文章。七种干预措施被归类为有效的,一个是无效的,也没有不良影响。八种干预措施被归类为效果不确定。有效的干预措施包括家访,信息和通信技术(ICT),案例管理器模型,多学科团队,和自我管理支持。
■这项研究的发现表明,结合两到四种干预措施可以改善医院到家庭的过渡护理。有效的干预措施包括家访,ICT,案例管理器模型,多学科团队,和自我管理支持。人们发现,由于人力资源不足等背景因素,这些干预措施在苏丹的实施受到损害,电信不稳定,和可访问性的不平等。这些干预措施可以根据对低收入国家影响实施的背景因素的深入了解来调整。
■https://osf.io/9eqvr/,doi:10.17605/OSF.IO/9EQVR。
UNASSIGNED: Hospital discharge is often associated with a lack of continuity resulting in fragmented care, particularly in low-income countries. As there is limited information about interventions in these countries and no study evaluating the effectiveness of hospital discharge interventions, we conducted a scoping
review to identify effective hospital-to-home transitional care interventions and explore their applicability in a low-income country (Sudan).
UNASSIGNED: Our scoping
review of systematic reviews and meta-analyses classed interventions as effective, ineffective, undesirable, or uncertain, based on the quality of their evidence and their estimated effects on the following outcomes: readmission rates, mortality, costs, quality of life, and adverse outcomes) and certainty of evidence. Our authors from Sudan used the SUPPORT summary tool to determine if three effective interventions could be implemented in Sudan.
UNASSIGNED: Out of 3,276 articles that were identified, and 72 articles were reviewed, 10 articles has been included in the
review. Seven interventions were classified as effective, one as ineffective, and none with undesirable effects. Eight interventions were classified as having an uncertain effect. The effective interventions were composed of home visits, information and communication technology (ICT), case manager models, multidisciplinary teams, and self-management support.
UNASSIGNED: The finding of this study suggested that a combining two to four interventions can improve enhance hospital-to-home transitional care. Effective interventions are composed of home visits, ICT, case manager models, multidisciplinary teams, and self-management support. The implementation of these interventions in Sudan was found to be undermined by contextual factors such as inadequate human resources, telecommunication instability, and inequality in accessibility. These interventions could be tailored based on an in-depth understanding of the contextual factors in low-income countries that influence implementation.
UNASSIGNED: https://osf.io/9eqvr/, doi: 10.17605/OSF.IO/9EQVR.