在瘤学中提供文化敏感的护理:多发性骨髓瘤的例子
Brandon Blue1, Amy Pierre2, Joseph Mikhael3
1H. Lee Moffitt Cancer Center and Research Institute, Department of Malignant Hematology, Tampa, FL.
Clinical lymphoma, myeloma & leukemia
|June 8, 2023
概括
多发性骨髓瘤 (MM) 不成比例地影响种族/少数民族. 通过文化谦卑来解决健康不平等问题,对于改善多元患者群体的MM结果至关重要.
科学领域:
- 血液学恶性瘤是什么
- 癌症流行病学 癌症流行病学
- 健康 公平 研究 健康 公平 研究
背景情况:
- 多发性骨髓瘤 (MM) 是一种显著的血液性恶性瘤,在黑人/非洲裔美国人中发病率较高,在西班牙裔/拉丁裔人中诊断较早.
- 尽管在治疗方面取得了进展,但种族/族裔少数群体由于接触障碍,社会经济障碍和与信任有关的障碍而经历了较差的结果.
- 在MM特征和风险因素中的种族差异加剧了结果不平等.
研究的目的:
- 审查影响MM流行病学和管理的种族/民族因素和结构障碍.
- 强调医疗保健专业人员对待各种患者群体的考虑,包括黑人/非裔美国人,西班牙裔/拉丁裔和美洲印第安人/阿拉斯加土著人.
- 为整合文化谦卑在临床实践中提供可行的建议.
主要方法:
- 文献综述侧重于多发性骨髓瘤中的种族/种族差异.
- 分析导致种族/族群结果差异的因素.
- 为医疗保健提供者制定实用策略,以解决患者护理中的文化因素.
主要成果:
- 种族和民族少数群体面临着优化多发性骨髓瘤护理的重大障碍,导致他们从新型疗法中获益较少.
- 黑人/非洲裔美国人,西班牙裔/拉丁裔和美洲印第安人/阿拉斯加土著等特定人群在MM管理中遇到独特的挑战.
- 文化谦卑,包括建立信任,尊重多样性,培训,临床试验咨询和资源连接,是必不可少的.
结论:
- 医疗保健专业人员必须认识到并解决多发性骨髓瘤的种族/民族差异.
- 实施文化谦卑对于公平的护理和改善MM的所有患者的生存结果至关重要.
- 建议侧重于实践步骤,以加强患者与医疗服务提供者的关系以及少数群体获得护理的机会.
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