原创研究:缓和护理是否可以改善拉丁裔癌症患者的健康公平?
Kim L Larson1, Holly F Mathews, Carlos R Melendez
1Kim L. Larson is a professor of nursing and Carlos R. Melendez is an assistant professor of biostatistics at the East Carolina University (ECU) College of Nursing, Greenville, where Teresa Hupp is a BSN graduate. Holly F. Mathews is professor emeritus in the Department of Anthropology at ECU's Thomas Harriot College of Arts and Sciences. Michelle Estrada is a cooperative extension agent at North Carolina State University, Goldsboro. Janet P. Moye is a consultant, Chelsea C. Passwater is a clinical instructor, and Mahvish Muzaffar is an oncologist at ECU Health, Greenville. This study was funded by a grant from the Rita and Alex Hillman Foundation, a national organization that supports nurse-driven innovations in health care. Contact author: Kim L. Larson, larsonk@ecu.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.
社区卫生工作者干预改善了农村拉丁裔癌症患者的预先护理计划. 该计划证明了可行性和积极的参与,解决了缓和护理准入方面的差距.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 老年学是一门学科.
背景情况:
- 对于患有危及生命的拉丁裔患者来说,息护理基础设施不足,特别是在美国农村地区.
- 需要文化敏感的干预措施来支持这一群体.
研究的目的:
- 开发和评估以社区为基础的息护理的卫生顾问 (LHA) 干预.
- 改善患有癌症的拉丁裔农村成年人的息护理和预先护理计划.
主要方法:
- 探索性混合方法参与性行动研究,涉及社区和学术界成员.
- 15名经过培训的息护理LHA向35名拉丁裔癌症患者提供了关于症状管理和预先护理计划的信息.
- 评估使用了干预前后调查 (ESAS-r,ACPES-4) 和转录的遭遇表格.
主要成果:
- 在LHA和参与者的事先护理计划参与中观察到显著的改善.
- 预先的护理计划信息与74.3%的参与者分享.
- 参与者经历了轻微的身体症状改善和情绪症状恶化;常见的担忧包括向儿童解释癌症,预后不确定性和医疗费用.
结论:
- 基于社区的息护理LHA-护士合作伙伴关系是一种可行的方法,可以让农村拉丁裔癌症成年人参与事先护理规划.
- 干预的成功影响了一个区域癌症中心优先考虑"文化护理"获得认证.
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