南非基层医疗综合症状性呼吸道疾病指南的制定。
Development of a South African integrated syndromic respiratory disease guideline for primary care.
作者信息
English René G, Bateman Eric D, Zwarenstein Merrick F, Fairall Lara R, Bheekie Angeni, Bachmann Max O, Majara Bosielo, Ottmani Salah-Eddine, Scherpbier Robert W
机构信息
Knowledge Translation Unit, University of Cape Town Lung Institute, Cape Town, South Africa.
出版信息
Prim Care Respir J. 2008 Sep;17(3):156-63. doi: 10.3132/pcrj.2008.00044.
AIMS
The Practical Approach to Lung Health in South Africa (PALSA) initiative aimed to develop an integrated symptom- and sign-based (syndromic) respiratory disease guideline for nurse care practitioners working in primary care in a developing country.
METHODS
A multidisciplinary team developed the guideline after reviewing local barriers to respiratory health care provision, relevant health care policies, existing respiratory guidelines, and literature. Guideline drafts were evaluated by means of focus group discussions. Existing evidence-based guideline development methodologies were tailored for development of the guideline.
RESULTS
A locally-applicable guideline based on syndromic diagnostic algorithms was developed for the management of patients 15 years and older who presented to primary care facilities with cough or difficulty breathing.
CONCLUSIONS
PALSA has developed a guideline that integrates and presents diagnostic and management recommendations for priority respiratory diseases in adults using a symptom- and sign-based algorithmic guideline for nurses in developing countries.
目的
南非肺部健康实用方法（PALSA）倡议旨在为在发展中国家从事初级保健工作的护士从业者制定一份基于症状和体征（综合征）的综合呼吸道疾病指南。
方法
一个多学科团队在审查了当地呼吸道医疗保健提供的障碍、相关医疗保健政策、现有呼吸道指南和文献后制定了该指南。通过焦点小组讨论对指南草案进行了评估。为该指南的制定对现有的循证指南制定方法进行了调整。
结果
制定了一份基于综合征诊断算法的适用于当地的指南，用于管理15岁及以上因咳嗽或呼吸困难到初级保健机构就诊的患者。
结论
PALSA制定了一份指南，该指南使用基于症状和体征的算法指南，为发展中国家的护士整合并提出了针对成人优先呼吸道疾病的诊断和管理建议。
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