患有喘儿童的护理人员语言偏好和医疗保健利用情况
Mickey Emmanuel1, Rachel Margolis2, Ranjodh Badh3
1Division of Emergency Medicine.
Pediatrics
|November 15, 2023
概括
护理人员非英语语言偏好与儿童喘急诊和住院率较高有关. 解决语言障碍对于改善儿童喘结果至关重要.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗服务研究 医疗服务研究
- 卫生公平性健康公平性
背景情况:
- 喘显著影响儿童的医疗保健使用,特别是在边缘化社区.
- 关于护理人员语言偏好如何影响儿科喘严重程度的研究有限.
- 护理人员非英语语言偏好 (NELP) 可能是喘相关健康结果的关键因素.
研究的目的:
- 调查儿童喘患者护理人员NELP和非计划医疗保健利用之间的关联.
- 确定语言偏好是否影响需要医疗照顾的喘恶化频率和严重程度.
主要方法:
- 在华盛顿特区 (2019年) 使用儿科喘登记处进行了回顾性队列研究.
- 纳入标准:2-17岁的患有喘的患者.
- 主要暴露:护理人员的语言偏好 (英语优先与NELP). 主要结局:与喘相关的非预定医疗保健访问 (ED,住院,ICU). 进行了物流回归分析.
主要成果:
- 在14431名儿科喘患者中,8.1%的护理人员有NELP.
- 护理人员的NELP与喘相关的急诊室访问 (aOR=1.37),住院 (aOR=1.79) 和重症监护室访问 (aOR=4.37) 的几率增加有关.
- 在西班牙裔子组中,NELP与更高的住院几率 (aOR=1.73) 有关.
结论:
- 护理人员的语言偏好是儿科喘结果的重要决定因素.
- NELP与儿童患喘的非计划医疗保健利用率增加有关.
- 解决语言障碍的干预措施对于改善喘护理和减少健康差异至关重要.
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