对未经证件的拉丁裔移民功能衰竭的同行支持小组干预的评估
Lilia Cervantes1, Katherine Rizzolo2, Kimberly A Indovina3
1Department of Medicine, University of Colorado, Anschutz Medical Campus, Aurora.
JAMA network open
|June 21, 2023
概括
对于在紧急透析中患有功能衰竭的无证移民来说,同行支持小组干预是可行的和可以接受的. 这种方法培养了友和情感支持,这对这个弱势群体至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 患有功能衰竭的非法移民经常接受紧急透析,面临高死亡率,抑郁和焦虑.
- 文化和语言一致的同行支持可以减轻这些挑战,并提供情感援助.
研究的目的:
- 评估对患有功能衰竭的无证移民进行同行支持小组干预的可行性和可接受性.
- 探索同行支持对情感福祉和护理经验的影响.
主要方法:
- 在丹佛,科罗拉多州进行了一项定性,单组前性研究 (2017年12月至2018年7月).
- 一个为期6个月的同行支持小组干预,在住院期间进行紧急透析.
- 通过招聘/保留评估可行性;通过面试评估可接受性;通过面试和会议的主题分析评估价值.
主要成果:
- 招聘率为85.2% (23/27),保留率为78.3% (18/23),平均参加6/12次会议.
- 确定了关键主题:友/情感支持,改善护理/恢复力的解决方案,以及紧急透析的情感/身体方面.
- 参与者报告说,重要的是同行支持,一个安全的共享空间,以及为了生存和政策变革的团结.
结论:
- 同行支持小组的干预表明了可行性和可接受性.
- 同行支持小组提供以患者为中心的策略,以建立友关系和在功能衰竭中提供情感支持.
- 这种干预特别适用于社会边缘化,没有保险的人群,英语水平有限.
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