本土化心脏康复:文化适应的作用
Miles Marchand1, Rylan K McCallum2, Keegan Marchand3
1Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada; Member of the Syilx Okanagan First Nation, British Columbia, Canada.
The Canadian journal of cardiology
|December 11, 2023
概括
文化适应的心脏康复 (CR) 计划改善了加拿大土著人民的心血管健康. 这些计划结合了传统实践和社区领导力,提高了可访问性和有效性.
科学领域:
- 心血管健康与康复中心
- 原住民健康公平的权利.
- 公共卫生干预 公共卫生干预
背景情况:
- 加拿大的土著社区由于历史和系统因素,患心血管疾病 (CVD) 的比例不成比例.
- 传统的,以城市为中心的心脏康复 (CR) 模式为土著人口带来了可访问性障碍.
- 文化适应的CR计划在改善心血管风险因素和生活质量方面表现有前途.
研究的目的:
- 审查支持土著患者文化适应CR计划的证据.
- 在土著社区中确定开发和实施有效CR干预的关键策略.
- 强调将土著观点纳入心血管保健的重要性.
主要方法:
- 对文化适应CR计划的现有文献进行系统审查.
- 分析成功的项目组成部分,包括社区参与和文化适应策略.
- 检查与心血管风险因素和患者幸福感相关的结果.
主要成果:
- 文化适应的CR计划证明了改善心血管风险因素的安全性,可接受性和有效性.
- 成功的项目强调土著领导,社区参与和文化敏感性培训.
- 结合传统饮食和陆地活动可以提高计划的参与度和有效性.
结论:
- 文化适应的CR对于解决加拿大的土著人民中CVD差异至关重要.
- 根据土著社区独特的文化和地理背景调整CR计划对于成功至关重要.
- 未来的CR倡议应优先考虑土著主导的发展和文化相关的干预.
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