长期神经系统疾病的成人保健:欧洲神经病学学会成员调查。

IF 2 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Katarina Rukavina, Alessandra Solari, Marianne de Visser, Ludo Vanopdenbosch, Magdalena Krbot Skoric, Maria Lolich, Lucia Pavlakova, David Oliver, Simone Veronese
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引用次数: 0

摘要

背景:欧洲患有长期神经系统疾病(PwLTNC)的人数正在上升,他们经历各种复杂症状,通常需要住院治疗。本调查探讨了医疗保健专业人员在为PwLTNC提供护理时遇到的挑战。方法:在2024年1月3日至2024年2月27日期间,由欧洲神经病学学会(EAN)姑息治疗科学小组制定了一项基于网络的调查,并由EAN科学部通过官方邮件列表、网站和通讯进行传播。应用了联合国的欧洲地理计划,并分析了北/西与南/东/大欧洲区域之间的差异。结果:共153名EAN成员(50%为女性,平均年龄48岁)参与。他们对长期医疗保健的可获得性表示不满,包括向残疾人及其家人和照顾者提供的姑息治疗(60%)、社会心理支持(67%)和精神支持(60%)、在医疗紧急情况下为残疾人提供医疗保健的资源以及急诊医务人员对残疾人的了解(45%)。与北欧/西欧相比,南欧/东欧/大欧洲更经常报告对为残疾妇女提供医疗保健所需资源的可用性、向残疾妇女提供的社会心理支持和提前护理计划实施程度的不满。结论:对EAN成员的调查显示,他们对提供给PwLTNC及其家人和护理人员的长期医疗保健(包括姑息治疗)不满意,并指出了两个欧洲大区域之间的医疗保健差异,其中南欧/东欧/大欧洲地区的数据更为关键。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare for adults with long-term neurological conditions: European Academy of Neurology Members Survey.

Background: The number of people living with long-term neurological conditions (PwLTNC) in Europe is on the rise and they experience a variety of complex symptoms, often requiring hospital admissions. This survey explored challenges healthcare professionals are encountering when providing care for PwLTNC.

Methods: A web-based survey was developed by the European Academy of Neurology (EAN) Scientific Panel on Palliative Care and disseminated by the EAN Scientific Department through the official mailing list, website and newsletter in the period 3 January 2024 to 27 February 2024. The United Nations' geoscheme for Europe was applied and differences between the North/West vs South/East/Greater European regions analysed.

Results: A total of 153 EAN members (50% women, mean age 48 years) were participated. They expressed their dissatisfaction with the availability of long-term healthcare, including palliative care (60%), psychosocial (67%) and spiritual support (60%) offered to PwLTNC, their families and carers, the resources to provide healthcare for PwLTNC in medical emergencies and knowledge of acute medical staff about PwLTNC (45%). Dissatisfaction with the availability of resources needed to provide healthcare for PwLTNC, the psychosocial support offered to PwLTNC and the extent of advance care planning implementation was more frequently reported in South/East/Greater Europe compared with North/West Europe.

Conclusion: This survey of the EAN members revealed dissatisfaction with long-term healthcare, including palliative care, offered to PwLTNC, their families and carers and pointed out healthcare disparities between the two European macroregions, with more critical figures in South/East/Greater Europe.

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来源期刊
BMJ Supportive & Palliative Care
BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)
CiteScore
4.60
自引率
7.40%
发文量
170
期刊介绍: Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.
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