urban population

城市人口
  • 文章类型: Journal Article
    进行系统评价和荟萃分析以确定贫血的患病率。缺铁(ID),中国孕妇缺铁性贫血(IDA)。共收集了2010年1月至2020年12月期间发表的722篇关于妊娠期贫血的文章。对包括1,376,204名孕妇在内的57项符合条件的研究进行了系统评价和荟萃分析,以确定贫血的患病率和不同亚组的患病率.结果表明,贫血的患病率,ID,中国孕妇中的IDA为30.7%(95%CI:26.6%,34.7%),45.6%(95%CI:37.0%,54.2%),和17.3%(95%CI:13.9%,20.7%),分别。所有患病率随着妊娠的进展而增加。贫血的患病率有相当大的地区差异,ID,和IDA。一般来说,在该国经济较发达的东部地区,患病率较低,东部地区的ID患病率高于西部地区。农村地区贫血和IDA患病率高于城市地区,但城市地区的ID患病率较高。总之,贫血患病率的地区差异和城乡差异表明,需要更多针对具体环境的干预措施来预防和治疗贫血.研究发现,饮食因素是贫血的主要原因之一,含铁补充剂和营养咨询可以成为降低贫血患病率的有效干预措施,ID,和IDA在中国孕妇中。
    The systematic review and meta-analysis were conducted to ascertain the prevalence of anemia, iron deficiency (ID), and iron deficiency anemia (IDA) among Chinese pregnant women. A total of 722 articles on maternal anemia during pregnancy published between January 2010 and December 2020 were compiled, and a systematic review and meta-analysis were conducted on 57 eligible studies including 1,376,204 pregnant women to ascertain the prevalence of anemia and the prevalence in different subgroups. The results showed that the prevalence of anemia, ID, and IDA among pregnant women in China were 30.7% (95% CI: 26.6%, 34.7%), 45.6% (95% CI: 37.0%, 54.2%), and 17.3% (95% CI: 13.9%, 20.7%), respectively. All prevalence increased with the progression of the pregnancy. There were sizable regional variations in the prevalence of anemia, ID, and IDA. Generally, lower prevalence was observed in the economically more advanced eastern region of the country, while the prevalence of ID was higher in the eastern region than that in the western region. The prevalence of anemia and IDA in rural areas was higher than that in urban areas, but ID prevalence was higher in urban areas. In conclusion, the regional differences and urban-rural disparities in the prevalence of anemia indicate the need for more context-specific interventions to prevent and treat anemia. It was found that dietary factors were one of the major causes of anemia, and iron-containing supplements and nutrition counseling could be effective interventions to reduce the prevalence of anemia, ID, and IDA among Chinese pregnant women.
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  • 文章类型: Journal Article
    这项研究调查了城乡人群中不可切除的非小细胞肺癌(NSCLC)的化疗治疗差异。尽管在NSCLC治疗方面取得了进步,提高了生存率,严重的不平等仍然存在,特别是在农村地区,获得护理的机会往往有限,导致较差的结果。通过系统回顾和荟萃分析,我们分析了部分研究的数据,这些研究比较了2010年至2024年间这些人群的化疗机会和使用情况.我们的研究结果表明,与城市患者相比,农村患者接受高级化疗的可能性一直较小。合并比值比为0.91(95%置信区间(CI):0.83-1.00),暗示了一个边缘但明显的差距。这凸显了医疗保健供应方面的关键差距,强调需要采取政策干预措施和改进医疗保健做法,以确保公平获得治疗。这项研究要求进一步调查导致这些差异的社会经济和文化因素,以提供有针对性的改进策略。
    This study investigates disparities in chemotherapy treatment for unresectable non-small cell lung cancer (NSCLC) between urban and rural populations. Despite advancements in NSCLC treatments enhancing survival, significant inequities persist, notably in rural areas where access to care is often limited, resulting in poorer outcomes. Through a systematic review and meta-analysis, we analyzed data from selected studies that compare chemotherapy access and usage between these populations from 2010 to 2024. Our findings indicate that rural patients are consistently less likely to receive advanced chemotherapy treatments than urban counterparts, with a pooled odds ratio of 0.91 (95% confidence interval (CI): 0.83-1.00), suggesting a marginal but noticeable disparity. This highlights a crucial gap in healthcare provision, underscoring the need for policy interventions and improved healthcare practices to ensure equitable treatment access. This research calls for further investigation into socioeconomic and cultural factors contributing to these disparities to inform targeted improvement strategies.
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  • 文章类型: Systematic Review
    目的:我们进行了系统评价,以描述农村癌症幸存者(RCS)的健康相关生活质量(HRQOL)。并比较RCS和城市癌症幸存者(UCS)之间的HRQOL。
    方法:我们搜索了Medline,Embase,CINAHLPlus,和PsycINFO用于生活在农村的成年癌症幸存者的HRQOL研究,区域,远程,和城市地区,完成了确定的原发性癌症治疗,没有残留疾病的证据。如有,我们使用规范值和临床重要值来赋予HRQOL数据的意义.
    结果:共纳入15项研究(16篇论文)。大多数来自美国(n=8),并报道了乳腺癌幸存者(n=9)。六个HRQOL仪器,跨16个域收集数据,被使用。三种仪器特定于生存阶段。12项研究的规范和临床数据可用。与规范人群相比,RCS有临床较差的身体HRQOL(6/12研究),更好的社会/家庭(5/7),和功能(3/6)HRQOL,情绪或/心理HRQOL无差异(9/12)。在六项关于城乡对照组以及规范和临床重要数据的研究中,RCS和UCS在临床上表现较差(分别为3/6和2/6)和更好的社会/家庭(3/4和2/4研究,分别)HRQOL高于规范人群。RCS(2/4研究)中的功能HRQOL优于UCS和规范人群。在3/6研究中,RCS之间的情绪或/心理HRQOL没有临床差异,UCS,规范人群。
    结论:总体而言,HRQOL在RCS中并不明显优于或低于UCS。未来的研究应该包括不同的肿瘤类型,农村居民,和特定于生存的HRQOL仪器。
    OBJECTIVE: We conducted a systematic review to describe health-related quality of life (HRQOL) in rural cancer survivors (RCS), and compare HRQOL between RCS and urban cancer survivors (UCS).
    METHODS: We searched Medline, Embase, CINAHL Plus, and PsycINFO for studies with HRQOL in adult cancer survivors living in rural, regional, remote, and urban areas, who had completed definitive primary cancer treatment, without evidence of residual disease. Where available, we used normative and clinically important values to ascribe meaning to HRQOL data.
    RESULTS: Fifteen studies (16 papers) were included. Most were from the US (n = 8) and reported on breast cancer survivors (n = 9). Six HRQOL instruments, collecting data across 16 domains, were used. Three instruments were specific to the survivorship phase. Normative and clinical data were available for 12 studies. Compared with normative populations, RCS had clinically worse physical HRQOL (6/12 studies), better social/family (5/7), and functional (3/6) HRQOL, and there were no differences in emotional or/mental HRQOL (9/12). In six studies with rural-urban comparator groups and normative and clinically important data, RCS and UCS had clinically worse physical (3/6 and 2/6, respectively) and better social/family (3/4 and 2/4 studies, respectively) HRQOL than normative populations. Functional HRQOL was better in RCS (2/4 studies) than UCS and normative populations. In 3/6 studies, there were no clinical differences in emotional or/mental HRQOL between RCS, UCS, and normative populations.
    CONCLUSIONS: Overall, HRQOL is not clearly better or worse in RCS than UCS. Future research should include different tumor types, rural residents, and survivorship-specific HRQOL instruments.
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  • 文章类型: Journal Article
    主动移动性,比如骑自行车和散步,由于其对健康和环境的积极影响,在中国城市居民的日常生活中越来越重要。COVID-19疫情的影响引起了行为的重大变化,感知,和这个领域的智力观点,从长远来看,可能会改变居民的体育活动。本范围审查旨在深入研究该流行病对中国城市主动交通的多维影响。到2024年1月,对英语和汉语研究进行了彻底的调查,借鉴WebofScience和中国国家知识基础设施的文章。评论中只选择了提供该主题知识的实证研究,共包括20项研究。这篇综述表明,COVID-19对中国城市主动流动的影响在行为方面表现出矛盾的结果。此外,疫情期间的经历极大地塑造了公民对主动行动的态度和理解。这一流行病的影响和随之而来的限制加剧了妇女面临的现有挑战,尤其是那些已婚的人,年长的成年人,和低收入个人。与在不同国家进行的先前研究并列时,结果显示出相似性和特质。此分析还为提高个人的主动移动性提供了宝贵的见解,组织,和社会政治领域。这一领域的经验理解现状强调了需要采用不同的方法论方法进行进一步的研究努力,并更加强调后流行病时代预期的转变。
    Active mobility, such as cycling and walking, is assuming a growing significance in the daily lives of urban residents in China due to its positive impact on health and the environment. The impact of the COVID-19 epidemic has elicited significant changes in behaviors, perceptions, and intellectual viewpoints in this domain, potentially altering residents\' physical activities in the long-term. This scoping review seeks to delve into the multi-dimensional influence of the epidemic on active mobility in urban China. A thorough investigation of English and Chinese studies up to January 2024 was conducted, drawing from articles in Web of Science and the Chinese National Knowledge Infrastructure. Only empirical studies providing knowledge into this subject were selected in the review, which comprised 20 studies in total. This review indicates that the influence of COVID-19 on active urban mobility in China has exhibited contradictory outcomes in terms of behavior. Besides, the experiences during the epidemic have significantly shaped citizens\' attitudes and understanding of active mobility. The repercussions of the epidemic and the ensuing restrictions exacerbate the existing challenges faced by women, particularly those who are married, the older adult, and individuals with low incomes. The results exhibit both resemblances and idiosyncrasies when juxtaposed with prior research conducted in different nations. This analysis also offers valuable insights for improving active mobility across individual, organizational, and socio-political realms. The current state of empirical understanding in this field underscores the need for further research endeavors employing diverse methodological approaches and increased emphasis on the transformations anticipated in the post-epidemic era.
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  • 文章类型: Journal Article
    急性冠状动脉综合征(ACS)仍然是世界范围内发病率和死亡率的重要原因。改善ACS患者预后的关键因素包括及时获得急性护理,包括如果需要及时重新观察,以及随后正在进行的二级预防和危险因素修改理想的心血管专家。人们越来越认识到,由于延迟诊断等因素,农村地区的ACS患者与城市地区的ACS患者相比,预后较差。延迟获得急性护理,和更难获得专门的后续行动。这篇叙述性综述将研究ACS患者,特别是ST段抬高型心肌梗死患者及时获得护理的重要性;获得护理的障碍如何影响各种农村人口的预后;以及已显示出改善此类获取的策略,因此,与居住在城市环境中的患者相比,有望获得更公平的健康结果。
    Acute coronary syndrome (ACS) remains an important cause of morbidity and mortality worldwide. Critical elements of improving outcomes in ACS patients include timely access to acute care including prompt revascularization if indicated, and subsequent ongoing secondary prevention and risk factor modification, ideally with cardiovascular specialists. It is being increasingly realized that ACS patients from rural settings suffer from inferior outcomes compared to their urban counterparts due to factors such as delayed diagnosis, delayed access to acute care, and less accessibility to specialized follow up. This narrative review will examine the importance of timely access to care in ACS patients, particularly in ST-elevation myocardial infarction; how barriers in access to care affects outcomes in various rural populations; and strategies that have been shown to improve such access, and therefore hopefully achieve more equitable health outcomes compared to patients who live in urban settings.
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  • 文章类型: Journal Article
    背景:总人口中老年人口增加和城市老年人口增加的全球现象促使对伊朗各个城市的年龄友好型城市指标进行了大量研究。从这些研究中获得的见解可以帮助决策者促进老年人的社会正义。因此,本研究旨在调查伊朗不同城市的年龄友好型城市指标状况.
    方法:通过在波斯语和英语数据库中搜索研究进行了系统评价,直到2024年3月,包括Pubmed,WebofScience,Scopus,科克伦,谷歌学者,和科学直接,使用诸如“年龄友好”之类的关键字,“老年人友好”,\"城市\",“老年人”,\"老化\",“老年人”,\"指标\",\"组件\",\"条件\",\"功能\",\"特征\",\"索引\",\"伊朗\",和“城市空间”,以及它们的MeSH等价物,使用\"AND\"和\"OR\"运算符。此外,使用诸如“对老年人友好”之类的关键字广泛搜索了诸如Magiran和SID之类的波斯语数据库,\"城市\",“城市空间”,\"伊朗\",\"指标\",\"组件\",\"功能\",和“标准”。还检查了最终文章的参考文献以确保搜索准确性。回顾了对年龄友好型城市指标的研究结果,总结,最终报告。
    结果:最初的搜索产生了2857篇文章,其中34项被纳入系统审查。只有两项研究针对基于老年人需求的指标,与大多数报告不利的城市条件为老年人。尽管有这些不利条件,在所检查的指标中,开放空间和建筑物的指数排名最高。然而,两个指标——尊重老年人,社会接受,公民参与,和就业-在任何研究中都表现不佳。
    结论:调查结果表明,伊朗未能达到年龄友好型城市的要求标准。因此,建议老年健康领域的政策制定者采取措施,确定和减轻老年人的环境风险因素。
    背景:该系统综述于2023年11月8日在Prospero数据库上注册,编号为CRD42023475657。
    BACKGROUND: The global phenomena of an increasing older population within the total population and the rise in urban older residents have prompted numerous studies on the indicators of an age-friendly city in various Iranian cities. The insights obtained from these studies can aid policymakers in promoting social justice for older adults. Thus, this study aimed to investigate the status of age-friendly city indicators across different cities in Iran.
    METHODS: A systematic review was conducted by searching for studies in Persian and English databases until March 2024, including Pubmed, Web of Science, Scopus, Cochrane, Google Scholar, and ScienceDirect, using keywords such as \"age-friendly\", \"elderly-friendly\", \"cities\", \"older adults\", \"aging\", \"elderly\", \"indicators\", \"components\", \"criteria\", \"features\", \"characteristics\", \"indexes\", \"Iran\", and \"urban space\", along with their MeSH equivalents, employing \"AND\" and \"OR\" operators. Additionally, Persian databases such as Magiran and SID were extensively searched using keywords like \"elderly-friendly\", \"city\", \"urban spaces\", \"Iran\", \"indicators\", \"components\", \"features\", and \"criteria\". The references of the final articles were also examined to ensure search accuracy. The results from the studies on the indicators of an age-friendly city were reviewed, summarized, and ultimately reported.
    RESULTS: The initial search yielded 2857 articles, of which 34 were included in the systematic review. Only two studies addressed the indicators based on the needs of the older adults, with the majority reporting unfavorable urban conditions for the older adults. Despite these unfavorable conditions, the index of open spaces and buildings received the highest rank among the examined indicators. However, two indicators-respect for older adults, social acceptance, civic participation, and employment- did not perform well in any study.
    CONCLUSIONS: The findings indicated that Iran failed to meet the required standards for age-friendly cities. Therefore, it is recommended that policymakers in the field of geriatric health take measures to identify and mitigate environmental risk factors for older adults.
    BACKGROUND: This systematic review was registered on the Prospero database with the number CRD42023475657 on date 8 November 2023.
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  • 文章类型: Journal Article
    目前,肥胖的社会经济梯度在拉丁美洲的城市人口中还没有得到很好的理解。这项研究回顾了评估肥胖前,肥胖,生活在拉美国家城市地区的成年人的社会经济地位(SEP)。使用PubMed和SciELO数据库。使用系统评价和荟萃分析的首选报告项目(PRISMA)指南进行数据提取。我们提取了SEP之间关联的数据(例如,教育,income),肥胖前(体重指数[BMI]≥25且<30kg/m2)和肥胖(BMI≥30kg/m2)。评估低SEP组和高SEP组之间的相对差异,并先验地定义为在p<0.05时显著。31项研究符合我们的纳入标准,大多数在巴西和墨西哥进行(22项和3项研究,分别)。一项研究提出了不重要的关联。教育或收入与肥胖前之间的关联中有47%是负面的。关于肥胖,80%为阴性,20%为阳性。大多数负面关联是在女性中发现的,而在男性中,它们根据所使用的指标而有所不同。SEP的肥胖前和肥胖没有遵循相同的模式,SEP揭示了肥胖社会梯度的逆转,尤其是拉丁美洲的女性,强调需要制定针对结构性和机构干预的明确政策。
    Currently the socioeconomic gradient of obesity it is not well understood in the urban population in Latin American. This study reviewed the literature assessing associations between pre-obesity, obesity, and socioeconomic position (SEP) in adults living in urban areas in Latin American countries. PubMed and SciELO databases were used. Data extraction was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We extracted data on the association between SEP (e.g., education, income), pre-obesity (body mass index [BMI] ≥ 25 and < 30 kg/m2) and obesity (BMI ≥ 30 kg/m2). Relative differences between low and high SEP groups were assessed and defined a priori as significant at p < 0.05. Thirty-one studies met our inclusion criteria and most were conducted in Brazil and Mexico (22 and 3 studies, respectively). One study presented nonsignificant associations. Forty-seven percent of associations between education or income and pre-obesity were negative. Regarding obesity, 80 percent were negative and 20 percent positive. Most negative associations were found in women while in men they varied depending on the indicator used. Pre-obesity and obesity by SEP did not follow the same pattern, revealing a reversal of the obesity social gradient by SEP, especially for women in Latin America, highlighting the need for articulated policies that target structural and agentic interventions.
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  • 文章类型: Journal Article
    背景:肌肉质量损失,肌肉力量,和/或由于衰老引起的身体机能被称为肌肉减少症。不管这种疾病有多严重,尚未建立单一的诊断标准.最近进行的许多研究表明,建筑环境特征(即,城市和农村)和肌少症的发生;然而,较少研究报道了世界各地城乡地区肌肉减少症患病率的变化.这项工作旨在确定城市和农村地区的肌少症患病率如何变化,并探讨相关的影响因素。
    方法:使用相关的MESH短语和自由词,PubMed,WebofScience,Embase,截至2023年2月26日,对中国国家知识基础设施数据库的核心肌少症文献进行了扫描。以中文和英文发表的涉及城乡肌少症患者的观察性研究,通过计算机断层扫描评估肌肉质量,生物电阻抗,或双能X射线吸收技术被认为是纳入标准。荟萃分析包括按诊断标准分析亚组的城乡患病率,评估肌肉质量和研究类型的工具,以及影响肌少症发生的城乡差异的相关因素。使用STATA版本11.0进行统计分析。
    结果:纳入了涉及433,091名参与者的66篇文章进行分析:其中27篇分析了患病率和相关因素,而39篇仅分析了患病率。荟萃分析显示肌肉减少症的患病率为0.18(95%CI0.14-0.22),具有显著异质性(P<0.001;I2=99.9%)。此外,城市人群中肌肉减少症的患病率[0.16(I2=99.9%,95%CI0.1-0.22)]低于农村组[0.2(I2=99.6%,95%CI0.16-0.25)]和城乡组[0.21(I2=97.5%,95%CI0.16-0.25)]。此外,与城乡肌肉减少症显著相关的因素是年龄,性别,BMI,营养不良,身体活动,和多药房。这些因素与肌少症之间存在显著异质性。
    结论:肌肉减少症与建筑环境的各个方面有关,研究表明,肌肉减少症在农村比城市人口更常见,其影响因素包括年龄,性别,BMI,营养不良,体力活动不足,和多药房。缺乏统一的诊断标准使得难以进行可靠和全面的评估。因此,某些通用和标准化诊断标准的形成将有助于未来对肌少症的研究。
    BACKGROUND: Loss of muscle mass, muscle strength, and/or physical performance due to aging is known as sarcopenia. Regardless of how serious this illness is, no single diagnostic criteria have been established. Much research conducted recently has demonstrated differences between built environment characteristics (i.e., urban and rural) and the occurrence of sarcopenia; however, variations in sarcopenia prevalence in urban-rural areas around the world have been reported by fewer studies. This work sought to determine how sarcopenia prevalence varied between urban and rural areas and to explore the associated influencing factors.
    METHODS: Using the pertinent MESH phrases and free words, PubMed, Web of Science, Embase, and China national knowledge infrastructure databases were scanned for core sarcopenia literature up to February 26, 2023. Observational studies involving urban-rural patients with sarcopenia published in Chinese and English, and assessing muscle mass via computed tomography, bioelectrical impedance, or dual-energy X-ray absorption techniques were considered as inclusion criteria. The meta-analysis involved analysis of the urban-rural prevalence in subgroups by diagnostic criteria, tools for assessing muscle mass and study type, as well as the factors related to urban-rural differences in the occurrence of sarcopenia. STATA version 11.0 was used to perform the statistical analysis.
    RESULTS: Sixty-six articles involving 433,091 participants were included for analysis: of which 27 were analyzed for both prevalence and related factors whereas 39 were for only prevalence. The meta-analysis revealed the prevalence of sarcopenia to be 0.18 (95 % CI 0.14-0.22), with significant heterogeneity (P < 0.001; I2 = 99.9 %). Moreover, the prevalence of sarcopenia in urban group [0.16 (I2 = 99.9 %, 95 % CI 0.1-0.22)] was lower than in rural group [0.2 (I2 = 99.6 %, 95 % CI 0.16-0.25)] and urban-rural group [0.21 (I2 = 97.5 %, 95 % CI 0.16-0.25)]. Besides, the factors significantly associated with sarcopenia in urban-rural areas were age, gender, BMI, malnutrition, physical activity, and polypharmacy. There was significant heterogeneity between these factors and the association of sarcopenia.
    CONCLUSIONS: Sarcopenia is associated with aspects of the built environment, and studies have revealed that sarcopenia is more common in rural than in urban populations with influencing factors including age, gender, BMI, poor nutrition, insufficient physical activity, and polypharmacy. The lack of uniform diagnostic criteria makes a robust and comprehensive assessment difficult. Therefore, the formation of certain universal and standardized diagnostic criteria will help future research on sarcopenia.
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  • 文章类型: Journal Article
    目的:在中国,大约四分之一的儿童是流动儿童。这个人群经历孤独的风险更高。然而,与中国城市的本地城市儿童相比,现有的研究提出了关于流动儿童孤独感水平的相互矛盾的发现。这篇综述对比较这两组之间孤独水平的研究进行了荟萃分析。
    结果:对主要中文和英文数据库的文献检索显示了27项合格的比较研究。这些研究报告了中国城市流动儿童和非流动儿童的孤独感得分的均值和标准化偏差。Meta分析结果显示,流动儿童的孤独感水平明显高于城市非流动儿童[标准化均值差异(SMD)=0.21,P<0.001]。亚组分析显示,从流动儿童学校招收流动儿童的研究汇集的SMD明显高于从公立学校招收儿童的研究(0.346vs.0.120,P=0.047)。
    结论:与当地的城市同龄人相比,中国城市的流动儿童的孤独感更高。努力创建一个具有社会包容性的,有利于移民的环境和减少流动儿童之间的社会孤立对缓解他们的孤独感至关重要。
    About one in four children in China is a migrant child. This population has a higher risk of experiencing loneliness. However, existing studies present conflicting findings regarding the levels of loneliness among migrant children as compared to local urban children in urban China. This review performs a meta-analysis of studies comparing loneliness levels between these two groups.
    A literature search of major Chinese- and English-language databases revealed 27 eligible comparative studies. These studies reported the means and standardized deviations of loneliness scores for both migrant and nonmigrant children in urban China. Meta-analysis results showed that migrant children experienced significantly higher levels of loneliness than their urban nonmigrant counterparts [standardized mean difference (SMD) = 0.21, P  < 0.001]. Subgroup analysis revealed that studies enrolling migrant children from migrant children\'s schools had significantly higher pooled SMDs than those enrolling children from public schools (0.346 vs. 0.120, P  = 0.047).
    Migrant children in urban China experience higher levels of loneliness compared to their local urban peers. Efforts to create a socially inclusive, migrant-friendly environment and reduce social isolation among migrant children are crucial to help alleviate their feelings of loneliness.
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  • 文章类型: Journal Article
    目的:本研究旨在通过虚拟骨折护理(VFC)审查工作流程,确定影响骨科创伤患者对急诊科(ED)护理和随访的体验和满意度的因素。
    方法:这项研究采用了探索性的,描述性,描述性使用个人的定性设计,半结构化面试。
    方法:阿姆斯特丹的城市二级创伤中心和教学医院,荷兰。
    方法:符合条件的患者为讲荷兰语或英语的骨科创伤患者,18岁或以上,他们在2022年6月至9月期间访问了医院的ED,并通过VFC审查工作流程进行了治疗。排除标准为:除受伤以外的随访原因,ED入院时眼睛/运动/言语得分<15,在另一家医院进行后续治疗,在另一家医院开始治疗,急性入院(<24小时)。二十三名病人应邀参加,其中15人参加并接受了采访。
    结果:几个影响因素促成了七个通用主题:(1)等待时间,(2)信息提供,(3)医疗保健专业沟通,(4)护理期望,(5)护理协调,(6)护理环境和(7)患者状况。总的来说,参与者对接受的护理感到满意。医疗保健专业人员的人际交往技能,提供信息的时间和内容得到了特别重视。此外,患者表示,他们在ED中的需求与ED出院后的需求不同,并赞赏VFC审查工作流程解决这个问题的方式。改进的要点包括患者更积极地参与护理过程,并防止不同医疗保健专业人员的指导不一致。
    结论:患者ED护理和VFC回顾随访的经历受七个主题因素的影响。VFC审查工作流程有效地解决了这些因素,带来积极的反馈。对医疗保健专业人员的建议包括预测不断变化的ED后信息需求,尽早让患者了解护理过程,让他们参与治疗决策,并在整个护理途径中扩大信息提供。
    OBJECTIVE: This study aimed to identify factors influencing orthopaedic trauma patients\' experiences and satisfaction with emergency department (ED) care and follow-up through Virtual Fracture Care (VFC) review workflow.
    METHODS: This study employed an explorative, descriptive, qualitative design using individual, semistructured interviews.
    METHODS: An urban level 2 trauma centre and teaching hospital in Amsterdam, the Netherlands.
    METHODS: Eligible patients were Dutch-speaking or English-speaking orthopaedic trauma patients, aged 18 years or above, who visited the hospital\'s ED between June and September 2022, and were treated through VFC review workflow. Exclusion criteria were: reason for follow-up other than injury, eye/motor/verbal score <15 at ED admission, follow-up treatment in another hospital, treatment initiated in another hospital, acute hospital admission (<24 hours). Twenty-three patients were invited for participation, of whom 15 participated and were interviewed.
    RESULTS: Several influential factors contributed to seven generic themes: (1) waiting times, (2) information provision, (3) healthcare professional communication, (4) care expectations, (5) care coordination, (6) care environment and (7) patient condition. Overall, participants were satisfied with received care. Interpersonal skills of healthcare professionals, and timing and content of provided information were specifically valued. Additionally, patients stated that their needs in the ED differed from those after ED discharge, and appreciated the way the VFC review workflow addressed this. Points of improvement included more active involvement of patients in the care process and prevention of inconsistent instructions by different healthcare professionals.
    CONCLUSIONS: Patient experiences with ED care and VFC review follow-up are influenced by factors categorised into seven themes. The VFC review workflow effectively addresses these factors, leading to positive feedback. Recommendations for healthcare professionals include anticipating evolving post-ED information needs, engaging patients early to provide clarity about the care process, involving them in treatment decisions and expanding information provision across the entire care pathway.
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