比利时有土耳其背景的老年人中提前护理规划和息护理需求:一个定性采访研究
Hakki Demirkapu1, Lieve Van den Block2, Stéphanie De Maesschalck3
1Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel, Brussels, Belgium.
The European journal of general practice
|October 23, 2023
概括
在比利时,需要息治疗的土耳其老年人往往缺乏预先护理计划 (ACP) 的知识. 家庭和宗教信仰对他们的终身护理决策有很大影响,影响了他们参与ACP讨论.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 关于欧洲移民人口中提前护理计划 (ACP) 的数据有限.
- 以前的研究表明,由于不信任,文化价值观和宗教信仰,美国的老年移民对非洲和非洲的参与度较低.
研究的目的:
- 调查比利时土耳其裔老年人的意识和观点,以了解他们在息治疗的背景下关于预先护理计划 (ACP) 的认识和观点.
- 探索影响该特定人口群体中ACP参与的因素.
主要方法:
- 一项定性研究,涉及以土耳其语进行的半结构化采访,对15名土耳其裔65岁及以上的布鲁塞尔和安特卫普的成年人进行了采访,他们有资格接受息治疗.
- 面试是在2019年5月至2022年2月期间在参与者的家中进行的.
- 两位研究人员使用结合的诱导和演方法进行了专题分析.
主要成果:
- 所有15名参与者都报告说,他们对事先护理计划 (ACP) 缺乏认识和信息.
- 虽然有些人与家人讨论了特定的生命末期偏好 (例如,护理地点,埋葬),但许多人没有觉得需要未来的医疗保健讨论,理由是相信上帝和家庭做出决定.
- 确定了ACP的障碍,包括害怕做出错误的决定,专注于现在,以及难以讨论死亡;促进者包括获取信息和最近与家庭疾病或死亡的经验.
结论:
- 比利时接受息治疗的土耳其裔老年人表明,他们对预先护理计划 (ACP) 知识存在重大差距.
- 参与终身医疗保健规划讨论受到这个人口中的家庭动态和宗教信仰的影响.
- 调查结果突出了医疗保健提供者需要文化敏感的方法,以服务于少数民族群体.
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