discharge

放电
  • 文章类型: Journal Article
    进行了一项横断面在线调查(2020年7月至8月),以确定父母在COVID-19大流行期间在头6周内与新生婴儿在家的经历。参与者(n=371)主要是亲生母亲(n=369,99.4%),英国白人(n=351,94.5%),第一个婴儿(n=186,50%)。母亲信心和儿童数量(rho(369)=0.295,p<.001)与参与时婴儿年龄(rho(369)=0.139,p=.009)之间存在统计学上的正相关。与具有较高学历的参与者(中位数=58,SIQR=2)相比,没有较高学历的参与者(中位数=62,SIQR=3.5)具有统计学上的显着更高的置信度(U=11831.500,p<.001)。出生时没有健康问题的婴儿的父母(中位数,61,SIQR=3.5)的置信度(U=13213.500,p<.001)高于出生时有健康问题的婴儿父母(中位数=58,SIQR=5)。出现了三个定性主题:“没有伴侣”限制的影响;混合的情绪以及缺乏信息和支持。总之,大流行期间的育儿会产生焦虑和恐惧,受“无合作伙伴”限制的影响,不被允许预约,扫描,在劳动期间。一些父母更有信心,并表示有好处,包括在社交距离期间加强与婴儿和伴侣的联系。
    大流行对父母心理健康和福祉的压力可能会对未来的育儿产生负面影响。医疗保健专业人员不应低估围产期心理健康下降的潜在后果,应警惕筛查,询问,和参考。对这一组父母和儿童进行的进一步研究,探索COVID-19大流行对他们持续健康和福祉的长期影响,可能有助于未来的医疗保健政策和指导。
    A cross-sectional online survey was undertaken (July-August 2020) to ascertain parents\' experiences during the COVID-19 pandemic of being at home with their newborn baby in the first 6 weeks. Participants (n = 371) were mostly biological mothers (n = 369, 99.4%), white British (n = 351, 94,5%), first baby (n = 186, 50%). A statistically significant positive correlation was found between maternal confidence and number of children (rho (369) = 0.295, p < .001) and baby\'s age at time of participation (rho (369) = 0.139, p = .009). Participants without higher educational qualifications (median = 62, SIQR = 3.5) had statistically significant higher confidence (U = 11831.500, p < .001) than participants with higher educational qualifications (median = 58, SIQR = 2). Parents of babies without health issues at birth (median, 61, SIQR = 3.5) had statistically significant higher confidence (U = 13213.500, p < .001) than parents of babies with health issues at birth (median = 58, SIQR = 5). Three qualitative themes have emerged: the impact of \"no partner\" restrictions; mixed emotions and lack of information and support. In conclusion, parenting during a pandemic created anxiety and fear, affected by \"no partner\" restrictions, not being allowed to appointments, scans, and during labor. Some parents were more confident and indicated benefits including heightening bonding with baby and partner during social distancing.
    The strain of the pandemic on the mental health and well-being of parents could have a negative impact on future parenting.Healthcare professionals should not underestimate the potential consequences of declining perinatal mental health and should be vigilant to screen, enquire, and refer.Further research on this cohort of parents and children exploring the long-term impact of the COVID-19 pandemic on their ongoing health and wellbeing could be beneficial for future health-care policies and guidance.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:心力衰竭(HF)是老年人群住院的主要原因。然而,由于HF的波动性,住院后仍然需要医疗保健,其中包括稳定的,不稳定,和急性期。这项研究的目的是探索老年人在HF出院后在初级保健环境中接受随访护理的经验。
    方法:本研究采用定性设计与访谈;定性内容分析与清单,采用归纳法进行数据分析。
    方法:该研究是在一个瑞典医疗保健地区的初级医疗保健中进行的。
    结果:分析揭示了一个中心类别,“护理安全范围内或外”,有两个子类别:“安全网”和“抛弃感”。
    结论:结果表明,对于一些患者,护理链效果很好,他们感到安全和被照顾。对于其他人来说,当前的护理系统有时可能太复杂,以至于这些老年合并症患者无法理解和管理。
    OBJECTIVE: Heart failure (HF) is the leading cause of hospitalizations among the older population. However, the need for healthcare persists after hospitalization due to the fluctuating nature of HF, which includes stable, unstable, and acute phases. The aim of this study was to explore older individuals\' experiences of receiving follow-up care in the primary care setting after being discharged from hospital with HF.
    METHODS: This study used a qualitative design with interviews; qualitative content analysis with a manifest, inductive approach was used for data analysis.
    METHODS: The study was conducted in primary healthcare within one Swedish healthcare region.
    RESULTS: The analysis revealed a central category, ‟Inside or Outside the Safe Sphere of Care\", with two sub-categories: ‟A Safety Net\" and \"A Sense of Abandonment\".
    CONCLUSIONS: The result showed that for some patients the chain of care worked well, and they felt safe and cared for. For others the current system of care sometimes might be too complicated for these older comorbid patients to understand and manage.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:头痛是急诊科(ED)中常见的一种情况,许多试验都集中在改善对这些患者的护理。然而,最近的大规模有限,关于发病率的可靠数据,录取率,评估,并在ED设置中进行治疗。
    方法:这是一项使用EpicCosmos国家数据库对2016年1月1日至2023年12月31日头痛的ED表现进行的横断面研究。包括所有具有头痛相关ICD-10编码的ED访问。结果包括ED访问总数的百分比,录取率,计算机断层扫描(CT)脑成像,腰椎穿刺(LP)性能,和药物管理。药物分类分析(NSAIDs,对乙酰氨基酚,多巴胺拮抗剂,苯海拉明,阿片类药物,静脉输液,咖啡因,和硫酸镁)。通过特定类型的多巴胺拮抗剂进行亚组分析。
    结果:在188,482,644次ED遭遇中,6,007,090(3.2%)是由于头痛。其中,246,082(4.1%)被录取。近一半(46.6%)的患者接受了至少一次CT检查。随着时间的推移,无对比CT头颅的比率从38.2%增加到47.9%,而CT血管造影的比率从2.8%上升到10.2%。1.4%的患者接受了LP,随着时间的推移,比率从1.8%下降到1.1%。最常见的药物是NSAIDs(45.3%),其次是多巴胺拮抗剂(44.8%),苯海拉明(38.1%),对乙酰氨基酚(24.8%),阿片类药物(16.3%),硫酸镁(0.2%),咖啡因(0.1%)。50.8%的患者接受了静脉输液。阿片类药物的比率随着时间的推移而下降,而多巴胺拮抗剂,对乙酰氨基酚,静脉输液增加。
    结论:头痛是ED表现的常见原因,约4%的患者入院。经常进行成像,随着时间的推移,没有造影的CT和CT血管造影率上升,而LP利率一直在下降。NSAIDs仍然是最常见的药物,随着时间的推移,阿片类药物下降,而非阿片类药物如多巴胺拮抗剂增加。这些发现有助于为卫生政策举措提供信息,如那些专注于放射学成像和循证药物管理。
    BACKGROUND: Headaches are a common condition seen in the Emergency Department (ED), with numerous trials focused on improving care for these patients. However, there is limited recent large-scale, robust data available on the incidence, admission rates, evaluation, and treatment in the ED setting.
    METHODS: This was a cross-sectional study of ED presentations for headache from 1/1/2016 to 12/31/2023 using the Epic Cosmos national database. All ED visits with headache-relevant ICD-10 coding were included. Outcomes included percentage of total ED visits, admission rates, computed tomography (CT) brain imaging, lumbar puncture (LP) performance, and medication administration. Medications were analyzed by class (NSAIDs, acetaminophen, dopamine antagonists, diphenhydramine, opioids, intravenous fluids, caffeine, and magnesium sulfate). Subgroup analyses were performed by specific types of dopamine antagonists.
    RESULTS: Of 188,482,644 ED encounters, 6,007,090 (3.2%) were due to headache. Of these, 246,082 (4.1%) were admitted. Nearly half (46.6%) of patients received at least one CT. Rates of CT head without contrast increased from 38.2% to 47.9% over time, while rates of CT angiography rose from 2.8% to 10.2%. 1.4% of all patients received an LP, with rates decreasing from 1.8% to 1.1% over time. The most common medication was NSAIDs (45.3%), followed by dopamine antagonists (44.8%), diphenhydramine (38.1%), acetaminophen (24.8%), opioids (16.3%), magnesium sulfate (0.2%), and caffeine (0.1%). 50.8% of patients received intravenous fluids. Rates of opioids declined over time, while dopamine antagonists, acetaminophen, and intravenous fluid administration increased.
    CONCLUSIONS: Headaches represent a common reason for ED presentation, with approximately 4% of patients being admitted. Imaging is frequently performed, with rises in CT without contrast and CT angiography rates over time, while LP rates have been declining. NSAIDs remain the most common medication given, with opioids declining over time while non-opioid agents such as dopamine antagonists have increased. These findings can help inform health policy initiatives, such as those focused on radiologic imaging and evidence-based medication administration.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:早产儿出院后,父母可能会经历心理健康和睡眠的改变。他们还认为缺乏来自医疗保健专业人员的信息。这项研究旨在描述父母在婴儿从新生儿病房出院后的心理健康和睡眠质量方面的教育需求。
    方法:这项描述性定量研究使用在线调查来评估父母的信息需求。多位父母(n=87)完成了调查。进行了描述性统计以报告调查结果。
    结果:根据父母的说法,在此期间,卫生专业人员为减轻压力而提供的最有用的信息涉及住院后婴儿的随访以及遇到问题时与卫生专业人员的联系(n=12;31.6%)。很少有父母(n=17;19.5%)报告说在过去六个月中看到了健康专业人士的睡眠情况。根据54.8%的家长,卫生专业人员在准备婴儿过渡回家时收到的信息都没有帮助改善他们的睡眠质量。
    结论:出院后,父母有一些信息需求,可能会影响他们的心理健康和睡眠质量。
    结论:医疗保健专业人员必须在新生儿单元出院前后满足这些信息需求,以增强父母在早产儿在家庭环境中过渡期间的体验。
    OBJECTIVE: Parents may experience altered psychological well-being and sleep following the discharge of their preterm infant. They also perceive a lack of information from healthcare professionals. This study aims to describe the educational needs of parents regarding their psychological well-being and their sleep quality following their infant\'s discharge from the neonatal unit.
    METHODS: This descriptive quantitative study uses an online survey to assess parental information needs. Multiple parents (n = 87) completed the survey. Descriptive statistics were conducted to report the results of the survey.
    RESULTS: According to parents, the most helpful information given by health professionals to reduce the stress felt during this period concerned the follow-up of the infant after hospitalization and access to a health professional in case of questions (n = 12; 31.6%). Few parents (n = 17; 19.5%) reported seeing a health professional about their sleep in the past six months. According to 54.8% of parents, none of the information received by health professionals when preparing for their infant\'s transition home helped improve their sleep quality.
    CONCLUSIONS: After discharge, parents have several information needs that may impact their psychological well-being and the quality of their sleep.
    CONCLUSIONS: Healthcare professionals must address these informational needs before and after discharge from the neonatal unit to enhance the experience of parents during the transition of their preterm infant in the family environment.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:关节置换是髋关节疾病发病率高的老年患者常用的治疗方法。然而,术后恢复缓慢,并发症很常见,这降低了手术效果。因此,患者需要长期,高品质,和有效的护理干预措施,以促进康复。连续性护理已成功用于其他疾病;然而,对接受髋关节置换术的老年患者进行的研究很少。
    目的:探讨延续护理对老年关节置换术患者出院后康复的临床效果。
    方法:对113例老年患者的临床资料进行回顾性分析。将接受常规护理的患者纳入常规组(n=60),那些接受持续护理的人,根据各种方法,纳入延续组(n=53)。哈里斯得分,短表36(SF-36)得分,并发症发生率,比较了常规组和延续组的再入院率。
    结果:出院后,延续组的Harris和SF-36评分高于常规组。两组患者的Harris和SF-36评分均呈随时间增加的趋势,组间存在交互效应(Harris评分:F组间效应=376.500,F时间效应=20.090,F交互效应=4.824;SF-36评分:F组间效应=236.200,F时间效应=16.710,F交互效应=5.584,均P<0.05)。此外,延续组的总并发症和再入院率均较低(P<0.05)。
    结论:延续性护理能显著改善老年患者关节置换术后髋关节功能和生活质量,降低并发症发生率和再入院率。
    BACKGROUND: Joint replacement is a common treatment for older patients with high incidences of hip joint diseases. However, postoperative recovery is slow and complications are common, which reduces surgical effectiveness. Therefore, patients require long-term, high-quality, and effective nursing interventions to promote rehabilitation. Continuity of care has been used successfully in other diseases; however, little research has been conducted on older patients who have undergone hip replacement.
    OBJECTIVE: To explore the clinical effect of continuous nursing on rehabilitation after discharge of older individuals who have undergone joint replacement.
    METHODS: A retrospective analysis was performed on the clinical data of 113 elderly patients. Patients receiving routine nursing were included in the convention group (n = 60), and those receiving continuous nursing, according to various methods, were included in the continuation group (n = 53). Harris score, short form 36 (SF-36) score, complication rate, and readmission rate were compared between the convention and continuation groups.
    RESULTS: After discharge, Harris and SF-36 scores of the continuation group were higher than those of the convention group. The Harris and SF-36 scores of the two groups showed an increasing trend with time, and there was an interaction effect between group and time (Harris score: F intergroup effect = 376.500, F time effect = 20.090, F interaction effect = 4.824; SF-36 score: F intergroup effect = 236.200, F time effect = 16.710, F interaction effect = 5.584; all P < 0.05). Furthermore, the total complication and readmission rates in the continuation group were lower (P < 0.05).
    CONCLUSIONS: Continuous nursing could significantly improve hip function and quality of life in older patients after joint replacement and reduce the incidence of complications and readmission rates.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    关于如何指代不再使用物质或减少使用物质的住宿治疗校友,在成瘾领域缺乏共识。在文学中,这个标签和更广泛的身份通常用技术术语(使用的数量和频率)或社会术语(环境和社会网络变化)来讨论。
    本论文旨在通过关注个人标签来简化讨论,而无需复杂的技术或社会考虑。住院成瘾治疗机构的校友被问及他们如何看待出院后的清醒状态。
    49名患者在出院后3个月接受了住院成瘾治疗(男性=67%;Mage=47.75岁)。患者完成了由训练有素的研究助理在20分钟的视频通话中进行的出院后评估。目前的研究集中在一个“清醒标签”的措施,病人指出他们想要被称为什么。患者还解释了为什么他们在开放式问题中选择了答案。
    大多数患者确定为恢复(n=29;59.18%),其次是清醒者(n=7;14.29%)和其他四个反应。没有明矾选择了缓解选项,这尤其是指不再使用物质的患者的常见方式。
    当前的研究在现有文献中增加了关键的患者/校友观点,并呼吁研究人员采取行动,在未来的评估中增加类似的“清醒标签”。研究,和电池努力给标签带来一致性,定义,和公布的身份。这种了解该人群如何识别的方法将在未来的文献中创造统一性,并减少成瘾周围的污名。
    标签使用不一致的历史,定义,以及成瘾治疗领域的身份。过去很少有研究直接询问患者如何自我标记,重要的是要问那些使用物质或减少使用的人他们更喜欢被称为什么。这项研究向住院治疗机构的校友提出了一个简单的问题,他们想被称为什么。然后我们要求他们解释为什么他们选择这个答案。大多数校友被认定为“正在康复”或“清醒的人”。这个简单的工具可以被其他设施利用,并且还强调了许多研究通过他们不喜欢的术语来指代个人(例如,“缓解”)。
    UNASSIGNED: There is a lack of consensus in the addiction field as to how to refer to alumni of residential treatment who no longer use substances or who reduce their use. In the literature, this label and broader identity are typically discussed in technical (amount and frequency of use) or social terms (environment and social network changes).
    UNASSIGNED: The current paper seeks to simplify the discussion by focusing on personal labels without complex technical or social considerations. Alumni of an inpatient addiction treatment facility were asked how they refer to themselves regarding their sobriety status post-discharge.
    UNASSIGNED: Forty-nine patients were contacted 3 months post-discharge from a residential inpatient addiction treatment (men = 67%; Mage = 47.75 years). The patients completed a post-discharge assessment that was conducted by a trained research assistant over a 20-minute video call. The current study focused on a \"sobriety label\" measure in which patients indicated what they want to be called. Patients also explained why they chose their answer in an open-ended question.
    UNASSIGNED: Most patients identified as in recovery (n = 29; 59.18%) followed by a sober person (n = 7; 14.29%) and four other responses. No alum selected the in remission option, which is notably a common way to refer to patients who no longer use substances.
    UNASSIGNED: The current study adds a critical patient/alumni perspective to the existing body of literature and serves as a call to action for researchers to add a similar \"sobriety label\" measure to future assessments, studies, and batteries in effort to bring consistency to the labels, definitions, and identities that are published. This methodology of understanding how this population identifies will create uniformity in future literature and decrease the stigma surrounding addiction.
    There is a history of inconsistent use of labels, definitions, and identities in the addiction treatment field. Few past studies have directly asked patients how they self-label, and it is important to ask those who use substances or who have reduced their use what they preferred to be called. This study asked a simple question to alumni of an inpatient treatment facility what they want to be called. We then asked them to explain why they chose that answer. Most alumni identified as “in recovery” or “a sober person”. This simple tool can be utilized by other facilities and also highlights that many research studies are referring to individuals by terms they do not prefer (eg, “in remission”).
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    糖尿病目前正在接近流行病的比例,并不成比例地影响医院环境中的患者。在美国,患有糖尿病的人每年有超过1700万急诊就诊和800万入院。这些患者在医院环境中的管理是复杂的,并且与门诊环境有很大不同。所有高血糖患者都应进行糖尿病筛查,由于院内高血糖预示着更大的发病风险,死亡率,入住重症监护室,增加住院时间。然而,高血糖的定义,血糖目标,在住院患者中控制高血糖的策略可能因考虑的人群而异。此外,呈现的疾病,改变营养状况,和同时住院的药物治疗通常需要考虑调整家庭糖尿病治疗方案和/或开始新的胰岛素剂量。这篇综述文章将研究围绕住院糖尿病管理的核心概念和新兴的新文献,包括血糖目标,胰岛素给药策略,非胰岛素药物,糖尿病新技术,住院糖尿病管理团队,和出院计划策略,优化患者安全和满意度,临床结果,甚至医院的财务健康。
    Diabetes mellitus is currently approaching epidemic proportions and disproportionately affects patients in the hospital setting. In the United States, individuals living with diabetes represent over 17 million emergency department visits and 8 million admissions annually. The management of these patients in the hospital setting is complex and differs considerably from the outpatient setting. All patients with hyperglycemia should be screened for diabetes, as in-hospital hyperglycemia portends a greater risk for morbidity, mortality, admission to an intensive care unit, and increased hospital length of stay. However, the definition of hyperglycemia, glycemic targets, and strategies to manage hyperglycemia in the inpatient setting can vary greatly depending on the population considered. Moreover, the presenting illness, changing nutritional status, and concurrent hospital medications often necessitate thoughtful consideration to adjustments of home diabetes regimens and/or the initiation of new insulin doses. This review article will examine core concepts and emerging new literature surrounding inpatient diabetes management, including glycemic targets, insulin dosing strategies, noninsulin medications, new diabetes technologies, inpatient diabetes management teams, and discharge planning strategies, to optimize patient safety and satisfaction, clinical outcomes, and even hospital financial health.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:低危和中危分化型甲状腺癌(DTC)的总体预后良好,强调了确定少数复发患者的必要性。
    方法:回顾性分析了299例低或中危DTC患者的记录(平均随访8.2±6.2年)。根据美国甲状腺协会(ATA)动态风险分层(DRS)系统对样本进行分类。
    在初次治疗(FU1)后根据DRS对患者进行分类,结构性复发发生在2/181(1.1%),5/81(6.2%)和13/26(50.0%),对治疗的不确定和生化不完全反应,分别。所有复发,但一次发生在FU1的5年内。单变量分析比较优秀,在随访结束时,不确定和生化不完全,具有结构不完全反应,确定的肿瘤大小(p<.001),T状态(<0.001),阳性淋巴结(N)(p<0.01),多焦点(p<.004),需要额外的放射性碘(RAI)(p<.0001)和首次DRS状态(p<.0003)作为复发的危险因素。在多变量分析中,只有RAI保持统计学显著(p<.02)。生化和结构不完全反应的优秀和不确定之间的比较,确定的肿瘤大小(p<.0004),T(p<.01),N(p<.0001),双边性(p<.03),首次DRS状态(p<.0001)和RAI(p<.001)为复发危险因素。在多变量分析中证实了T(p<.01)和第一个DRS(p<.0006)。
    结论:DTC患者被分类为低或中复发风险,对FU1治疗反应良好,很少发生结构性疾病,这种情况几乎只发生在前5年。初始DRS状态是确定复发风险的准确工具。
    OBJECTIVE: The generally good prognosis of low- and intermediate-risk differentiated thyroid cancer (DTC) underscored the need to identify those few patients who relapse.
    METHODS: Records of 299 low- or intermediate-risk DTC patients (mean follow-up 8.2 ± 6.2 years) were retrospectively reviewed. The sample was classified following the American Thyroid Association (ATA) dynamic risk stratification (DRS) system.
    UNASSIGNED: After classifying patients according to DRS at the first visit following initial therapy (FU1), structural recurrence occurred in 2/181 (1.1%), 5/81 (6.2%) and 13/26 (50.0%) with excellent, indeterminate and biochemical incomplete response to treatment, respectively. All relapses but one happened within 5 years from FU1. Univariate analysis comparing excellent, indeterminate and biochemical incomplete with structural incomplete responses at the end of the follow-up, identified tumour size (p < .001), T status (<0.001), positive lymph nodes (N) (p < .01), multifocality (p < .004), need of additional radioactive iodine (RAI) (p < .0001) and first DRS status (p < .0003) as risk factors of recurrence. In the multivariate analysis, only RAI remained statistically significant (p < .02). Comparison between excellent and indeterminate with biochemical and structural incomplete responses, identified tumour size (p < .0004), T (p < .01), N (p < .0001), bilaterality (p < .03), first DRS status (p < .0001) and RAI (p < .001) as recurrence risk factors. T (p < .01) and first DRS (p < .0006) were confirmed in the multivariate analysis.
    CONCLUSIONS: Patients with DTC classified as low- or intermediate-risk of recurrence with excellent response to treatment at FU1 rarely develop structural disease and this occurs almost exclusively in the first 5 years. Initial DRS status is an accurate tool for determining the risk of recurrence.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    全球,2021年有500万五岁以下儿童死亡。亚洲和非洲国家贡献了69%和27.2%的浪费,分别。在埃塞俄比亚,在901名(10.1%)五岁以下儿童中,632(8.1%)被发现是中等浪费,269人(3.0%)严重浪费。这项研究的目的是评估HabroWoreda的6至59个月儿童中消瘦的患病率及其相关因素,奥罗米亚,埃塞俄比亚东部。
    于2020年8月25日至9月20日在HabroWoreda进行了一项基于社区的横断面研究。总的来说,通过系统抽样技术将306名参与者纳入本研究。通过面对面访谈,使用预先测试的结构化问卷收集数据,进入EpiData版本3.1,并使用SPSS版本25进行分析。使用多变量逻辑回归分析模型评估预测因子,并使用具有95%置信区间(CI)的校正比值比(AOR)进行报告。统计学显著性设定为p<0.05。
    总的来说,哈布罗地区6-59个月儿童的消瘦患病率为28%,95%的置信区间[26.5,32.2%]。母亲不识字等因素[AOR=3.4;95%CI:1.14-10.47],没有厕所的家庭[AOR=2.91;95%CI:1.33-6.37],粮食不安全家庭[AOR=4.11;95%CI:1.87-9],未接受家访的家庭[AOR=4.2;95%CI:1.92-9.15],不吃各种食物[AOR=7.44;95%CI:2.58-21.45],出院后的患病儿童[AOR=6.55;95%CI:2.85-15.02],再入院儿童[AOR=3.98;95%CI:1.43-15.07],和消瘦3.42[AOR=3.42;95%CI:1.24-9.45]是与结果变量统计学相关的因素。
    这项研究指出,6-59个月儿童从门诊治疗方案出院后消瘦的患病率仍然很高。母亲的教育状况,厕所的可用性,在家里单独的厨房,家庭粮食不安全,家庭饮食多样性,家访,和入院类型与门诊治疗方案出院后儿童消瘦显著相关.因此,针对这些因素的努力应最大限度地减少门诊治疗计划出院后6-59个月儿童的消瘦发生率.
    UNASSIGNED: Globally, five million children under the age of five died in 2021. Asia and African countries contributed to 69% and 27.2% of wasting, respectively. In Ethiopia, out of 901 (10.1%) under-five children, 632 (8.1%) were found to be moderately wasted, and 269 (3.0%) were severely wasted. The purpose of this study was to assess the prevalence of wasting and its associated factors among children between the ages of 6 and 59 months in Habro Woreda, Oromia, Eastern Ethiopia.
    UNASSIGNED: A community-based cross-sectional study was conducted in Habro Woreda from 25 August to 20 September 2020. In total, 306 participants were included in this study through a systematic sampling technique. Data were collected using a pretested structured questionnaire through a face-to-face interview, entered into EpiData version 3.1, and analyzed using SPSS version 25. Predictors were assessed using a multivariate logistic regression analysis model and reported using an adjusted odds ratio (AOR) with a 95% confidence interval (CI). Statistical significance was set at p < 0.05.
    UNASSIGNED: Overall, the prevalence of wasting among children aged 6-59 months in the Habro district was 28%, with a 95% confidence interval [26.5, 32.2%]. Factors such as mothers illiterate [AOR = 3.4; 95% CI: 1.14-10.47], households without latrines [AOR = 2.91; 95% CI: 1.33-6.37], food-insecure households [AOR = 4.11; 95% CI: 1.87-9], households that did not receive home visits [AOR = 4.2; 95% CI: 1.92-9.15], did not eat a variety of food [AOR = 7.44; 95% CI: 2.58-21.45], sick children after discharge from the program [AOR = 6.55; 95% CI: 2.85-15.02], readmitted children [AOR = 3.98; 95% CI: 1.43-15.07], and wasting 3.42 [AOR = 3.42; 95% CI: 1.24-9.45] were factors statistically associated with outcome variables.
    UNASSIGNED: This study noted that the prevalence of wasting among children aged 6-59 months following discharge from the Outpatient Therapeutic Program remains high. Educational status of the mother, availability of a latrine, separate kitchen in the household, household food insecurity, household dietary diversity, home visit, and admission type were significantly associated with wasting of children after discharge from the outpatient therapeutic program. Therefore, efforts that target these factors should be maximized to reduce the occurrence of wasting among children aged 6-59 months after discharge from the outpatient therapeutic program.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号