在癌症护理中应用多元文化导向对性和性别少数群体癌症幸存者的治疗:一个横截面的相关研究
Trisha L Raque1, Kat Bashakevitz1, Orphea Wright1
1Department of Counseling Psychology, University of Denver, Denver, Colorado, USA.
LGBT health
|January 12, 2024
概括
性和性别少数群体 (SGM) 癌症幸存者经历了未满足的需求. 提高提供者的文化谦卑和利用文化机会显著改善SGM幸存者的患者-提供者关系和治疗坚持.
科学领域:
- 在瘤学瘤学.
- 健康差异 在健康上的差异
- 医疗保健中的文化能力.
背景情况:
- 性和性别少数群体 (SGM) 癌症幸存者报告未满足的需求影响了护理.
- 多元文化导向 (MCO) 框架为肯定的癌症护理提供了潜力,但缺乏经验测试.
- 了解患者提供者动态对于改善SGM癌症存活率至关重要.
研究的目的:
- 实证地检查SGM癌症护理中的多元文化导向 (MCO) 框架.
- 评估文化谦卑和文化机会对SGM癌症患者提供者关系的预测力.
- 调查MCO原则对治疗坚持和患者-提供者联盟的影响.
主要方法:
- 一项涉及108名SGM癌症幸存者的横截面研究.
- 调查评估了对提供者文化谦卑和文化机会的看法.
- 使用等级回归分析来确定预测关系.
主要成果:
- 文化谦卑是治疗坚持 (38%的差异) 和患者提供者联盟 (61%的差异) 的重要预测因素.
- 诊断时的年龄和不接受活跃治疗与关键结果正相关.
- 提供者对患者文化认同的纳入与幸存者支持有很强的关联.
结论:
- 多元文化导向 (MCO) 为肯定的SGM癌症护理提供了有价值的框架.
- 供应商的文化谦卑和对文化机会的承认对SGM癌症幸存者至关重要.
- 提高瘤学的文化能力对于增强患者与提供者关系和治疗坚持是必不可少的.
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