使用常规的急救部门护理实践与聋人美国手语使用者
Kenneth R Conner1, Courtney M Jones2, Nancy Wood2
1Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York; Department of Psychiatry, University of Rochester Medical Center, Rochester, New York.
The Journal of emergency medicine
|August 28, 2023
概括
聋人美国手语 (ASL) 用户获得的例行紧急护理较少,包括实验室测试和手术较少. 这项研究强调了聋人社区在医疗保健方面的潜在差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床医学 临床医学
- 健康差异 在健康上的差异
背景情况:
- 使用美国手语 (ASL) 的聋人可能面临医疗保健差异.
- 关于这些差异的经验数据有限,特别是在紧急护理方面.
研究的目的:
- 调查为聋人ASL用户提供常规急诊室 (ED) 护理.
- 为了在ED中比较聋ASL用户和听英语用户之间的护理实践和结果.
主要方法:
- 2018年ED访问美国学术医疗中心的回顾性分析.
- 听障ASL用户 (n=257) 与听力英语用户 (n=429) 的比较.
- 使用后勤回归来比较四种常规ED护理实践和ED处置.
主要成果:
- 聋的ASL用户不太可能被要求进行实验室测试 (aOR=0.68).
- 聋人ASL用户的外周静脉输液线 (PIV) 放置率较低.
- 高敏度聋人ASL用户不太可能接受成像检查,也不太可能被送往医院.
结论:
- 研究结果表明,对于聋ASL用户而言,常规ED护理存在差异.
- 局限性包括单点观测设计和依赖医疗记录.
- 需要进一步的研究来理解和解决这些ED护理差异.
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