在西班牙语说话的小儿科患者中,手术后的沟通模式的差异与水脑有关
Gabriela D Ruiz Colón1, Rebecca J Pizzitola1, Gerald A Grant2
1Department of Neurosurgery, Stanford University School of Medicine, Palo Alto, CA.
The Journal of pediatrics
|August 23, 2023
概括
与英语患者相比,说西班牙语的儿童水头患者的术后沟通较少,急诊室的访问更多. 这凸显了非英语发言者在护理沟通和获取方面的潜在差异.
科学领域:
- 儿科神经外科 儿科神经外科
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 儿童水头需要大量的术后监测和沟通.
- 患者和医疗保健提供者之间的有效沟通对于最佳的术后护理至关重要.
- 语言障碍可能会阻碍沟通,并影响儿科患者的医疗保健利用.
研究的目的:
- 调查英语患者 (ESP) 和儿童水头的西班牙语患者 (SSP) 在术后沟通模式和医疗保健使用方面的差异.
- 根据语言能力,识别儿童水头管理中的潜在差异.
主要方法:
- 一项回顾性队列研究比较了50名ESP和50名SSP (年龄<18岁),这些患者接受了心室关节分流或内镜第三心室静脉切除术.
- 收集的数据包括人口统计数据,术后通信频率 (通话/消息) 和医疗保健利用率.
- 多重线性回归分析用于确定通信和医疗保健使用的预测因素.
主要成果:
- 与ESP相比,SSP具有更高的并发症和腹腔关节分流率,更长的住院时间,以及更高的30天再入院率.
- 与ESP相比,只有18%的SSP在术后与诊所进行了沟通,SSP的总通信数量明显减少.
- SSP更有可能被引导到急诊室进行管理,而ESP更经常接受安慰或门诊护理调整.
结论:
- 尽管疾病更复杂,SSP与神经外科团队的术后沟通显著下降.
- 通过急诊部不成比例地管理SSP,这表明在获得及时,以患者为中心的护理方面存在潜在障碍.
- 需要进一步的研究来了解和解决沟通障碍,以确保为儿科水脑患者提供公平的术后护理.
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