患者对在埃塞俄比亚息治疗中传递坏消息的偏好:一项定性研究
Ephrem Abathun Ayalew1, Ditaba David Mphuthi2, Kholofelo Lorraine Matlhaba2
1Department of Health Studies, University of South Africa, Pretoria, South Africa. 10342435@mylife.unisa.ac.za.
BMC palliative care
|November 4, 2023
概括
埃塞俄比亚的息护理患者更喜欢逐渐收到坏消息,并且家人也在场. 然而,目前的做法往往无法满足这些文化和宗教偏好,突出需要改进的沟通策略.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 医学伦理 医学伦理
- 文化研究 文化研究
背景情况:
- 医疗保健专业人员在了解患者接受坏消息和披露水平的偏好方面面临挑战.
- 在埃塞俄比亚的息治疗中,打破坏消息的文化细微差别是研究不足的.
- 了解文化因素对于在严重诊断中有效传递坏消息至关重要.
研究的目的:
- 探索埃塞俄比亚患者在息护理环境中接受坏消息的文化偏好.
- 为了确定特定的文化和宗教因素影响坏消息披露偏好.
- 在息治疗中为文化敏感的沟通策略提供信息.
主要方法:
- 使用非概率的定性研究方法,有目的的抽样.
- 对八名被诊断患有癌症或艾滋病毒/艾滋病的癌症患者进行了深入采访.
- 使用ATLAS.ti 22软件对转录的数据进行主题分析.
主要成果:
- 宗教价值观和仪式极大地影响人们对危及生命的疾病的看法和新闻传递偏好.
- 患者报告了缺乏足够信息的负面经验,并希望增量,可爱和同情的交付方法.
- 家庭成员的存在被认为对接受坏消息的患者至关重要.
结论:
- 患者更愿意在家人面前获得医疗信息,但他们的需求往往没有得到满足.
- 让患者参与治疗决策,并根据文化价值观和宗教信仰量身定制坏消息的传递至关重要.
- 坚持患者的偏好增强了他们的愿望,并改善了息环境中的护理.
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