■评估发展中国家创伤性脊髓损伤(TSCI)护理的主要挑战。
■我们在PubMed的电子数据库中进行了系统的搜索,Scopus,WebofScience,EMBASE,和Cochrane图书馆于2023年4月16日。调查发展中国家与TSCI管理相关挑战的研究有资格进行审查。我们提取了相关的结果,并将它们分为四个不同的部分:伤害预防,院前护理,医院护理,和院后护理。
■我们确定了82篇符合资格标准的文章,其中包括13项关于伤害预防的研究。25关于院前护理,32在医院护理上,医院后护理61。与医院后问题有关的挑战,包括个人,金融,首先研究了患者残疾的社会后果以及TSCI赋予患者权力的不足。缺乏训练有素的人力资源,公共教育不足和护理延迟是TSCI急性和慢性管理的障碍.需要一个明确的院前网络和急性神经创伤管理的标准指南。伤害预防的关键挑战包括基础设施和支持性立法的不足。
■关注发展中国家TSCI管理中的伤害预防和院前护理的研究值得进一步调查。必须制定专门针对每个国家独特情况的系统和循证举措,以有效应对这些挑战。通过了解主要障碍,政策制定者和医疗保健提供者可以制定改善教育的目标,规划,立法,和资源分配。
UNASSIGNED: To evaluate the leading challenges in developing countries\' traumatic spinal cord injury (TSCI) care.
UNASSIGNED: We conducted a systematic search in electronic databases of PubMed, SCOPUS, Web of Science, EMBASE, and Cochrane Library on 16 April 2023. Studies that investigated challenges associated with the management of TSCI in developing countries were eligible for review. We extracted related outcomes and categorized them into four distinct parts: injury prevention, pre-hospital care, in-hospital care, and post-hospital care.
UNASSIGNED: We identified 82 articles that met the eligibility criteria including 13 studies on injury prevention, 25 on pre-hospital care, 32 on in-hospital care, and 61 on post-hospital care. Challenges related to post-hospital problems including the personal, financial, and social consequences of patients\' disabilities and the deficiencies in empowering people with TSCI were foremost studied. Lack of trained human resources, insufficient public education and delays in care delivery were barriers in the acute and chronic management of TSCI. A well-defined pre-hospital network and standard guidelines for the management of acute neurotrauma are needed. Critical challenges in injury prevention include deficiencies in infrastructure and supportive legislation.
UNASSIGNED: Studies focusing on injury prevention and pre-hospital care in TSCI management in developing countries warrant further investigation. It is imperative to develop systematic and evidence-based initiatives that are specifically tailored to the unique circumstances of each country to address these challenges effectively. By understanding the primary obstacles, policymakers and healthcare providers can establish goals for improving education, planning, legislation, and resource allocation.