在英语和西班牙语的老年人中,提前护理计划对话的质量和满意度
Laura P Gelfman1,2, Deborah E Barnes3,4,5, Nathan Goldstein1
1Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Journal of palliative medicine
|June 19, 2023
概括
在老年人中,提前护理计划 (ACP) 对话的频率不高,质量通常一般. 详细的讨论提高了沟通满意度,突出了需要更好的非洲和非洲国家和地区质量,特别是对于西班牙语人士和那些健康素养有限的人.
科学领域:
- 老年学是一门学科.
- 卫生沟通健康沟通
- 公共卫生 公共卫生
背景情况:
- 对于患者报告的质量和对各种老年人预先护理计划 (ACP) 对话的满意度知之甚少.
- 基于语言和健康素养的非洲和非洲国家和地区沟通满意度的潜在差异尚未得到充分理解.
- 了解患者的观点对于改善终身护理讨论至关重要.
研究的目的:
- 为了确定涉及代孕和临床医生的ACP对话的感知质量和满意度.
- 识别患者的特征与ACP沟通满意度相关.
- 探索非洲和非洲国家沟通经验中的潜在差异.
主要方法:
- 来自两项非洲和非洲国家试验 (2013-2017年) 的基线数据的横截面分析.
- 包括55岁以上的美国慢性/严重疾病的初级保健患者.
- 测量结果:自报道的ACP对话质量 (一般与详细) 和沟通满意度 (5分利克尔特尺度);使用基平方和t测试进行统计分析.
主要成果:
- 在1398名患者中,42%的人报告了代孕对话和15%的临床医生对话;不到一半的人认为它们是详细的.
- 与一般对话相比,详细对话显示了更高的沟通满意度 (代用人:4.4与4.1;临床医生:4.4与4.2).
- 与女性相比,男性,那些有足够的健康素养的人,和英语说者分别报告了更高的满意度,健康素养有限,和西班牙语说者.
结论:
- 在英语和西班牙语的老年人中,提前护理规划对话是罕见的,通常是一般质量的.
- 高质量,详细的ACP对话与更高的沟通满意度有关.
- 需要采取干预措施,以提高非洲和非洲的对话质量,特别是对于西班牙语患者和那些健康素养有限的患者.
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