赞比亚的小儿造口：当前的伦理挑战与公共政策的推进。

IF 2.3 3区医学 Q2 SURGERY

World Journal of Surgery Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI:10.1002/wjs.12251

Katherine Kazen, Keelin Roche, Luther Ward, Brad Feltis, Sufyan A Ibrahim

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引用次数: 0

摘要

导言：小儿造口术在撒哈拉以南非洲地区（SSA）越来越普遍。对于患者、其家人和医疗服务提供者而言，该手术既涉及生理问题，也涉及伦理问题：伦理讨论：为需要造口术的儿童的父母提供咨询时，必须解决他们的每一个疑虑，同时努力促进有利、无弊、自主、生活质量和公正的伦理原则：结论：随着非洲撒哈拉以南地区小儿外科护理的不断进步，改善以患者为中心的整体护理所面临的挑战的工作也必须取得进展。本手稿概述了与撒哈拉以南非洲地区小儿造口护理相关的伦理困境，并列举了为解决这些困境所做的努力和采取的举措。

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Pediatric stoma in Zambia: Current ethical challenges and advancement of public policy.

Introduction: Pediatric ostomy creation is becoming increasingly prevalent in Sub-Saharan Africa (SSA). The procedure is associated with both physical and ethical challenges for patients, their families, and medical providers.

Ethical discussion: Counseling parents of children in need of ostomy creation must address each of their trepidations while seeking to promote the ethical tenets of beneficence, non-maleficence, autonomy, quality of life, and justice.

Conclusion: As pediatric surgical care in SSA continues to progress, efforts to ameliorate challenges to providing holistic patient-centric care must also progress. This manuscript outlines ethical dilemmas associated with pediatric ostomy care in SSA and lists efforts and initiatives seeking to address them.

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来源期刊

World Journal of Surgery 医学-外科

CiteScore

5.10

自引率

3.80%

发文量

460

审稿时长

3 months

期刊介绍： World Journal of Surgery is the official publication of the International Society of Surgery/Societe Internationale de Chirurgie (iss-sic.com). Under the editorship of Dr. Julie Ann Sosa, World Journal of Surgery provides an in-depth, international forum for the most authoritative information on major clinical problems in the fields of clinical and experimental surgery, surgical education, and socioeconomic aspects of surgical care. Contributions are reviewed and selected by a group of distinguished surgeons from across the world who make up the Editorial Board.