管理复杂性:黑人老年人与多种疾病
Heather Fritz1, Sage Chase2, Lauren Morgan2
1School of Occupational Therapy, Pacific Northwest University of Health Sciences, Yakima, Washington, USA.
The Gerontologist
|June 23, 2023
概括
黑人老年人经历了多种健康状况的"管理复杂性",包括社会因素,日常任务和照顾者的角色. 了解这种经验是改善护理和减少健康差距的关键.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 健康和疾病的社会学
背景情况:
- 与白人成年人相比,黑人老年人面临着更高的多发病率和更不有效的支持.
- 黑人老年人多病症护理方面的差异与缺乏对他们的生活经验的理解有关.
- 现有的研究对黑人老年人在管理多种慢性疾病时面临的具体挑战提供了有限的洞察力.
研究的目的:
- 为黑人老年人概念化多病症管理 (MM) 经验.
- 为这一群体确定MM所涉及的核心挑战和领域.
- 为文化相关干预措施的发展提供信息,并改善护理.
主要方法:
- 定性研究采用对30名黑人老年人 (65岁及以上) 进行深入采访,这些老年人自我报告的多病症.
- 基于理论的分析用于开发MM经验的概念模型.
- 参与者居住在美国中西部的一个大城市.
主要成果:
- "管理复杂性"成为描述MM经验的中心主题.
- 确定的主要领域包括"社会背景"",日常物流"",护理时间"和"护理角色".
- 管理复杂性的概念与患者复杂性不同,与累积不平等有关.
结论:
- 这些发现突显了黑人老年人多病症管理的多方面的性质.
- 干预措施应解决社会决定因素,提供者同情和患者代理.
- 解决"管理复杂性"对于减少这一群体的健康差异至关重要.
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