息治疗中的种族差异 用于心力衰竭 死亡者
Sarah H Cross1, Neal W Dickert2, Alanna A Morris2
1Division of Palliative Medicine, Department of Family and Preventive Medicine, Emory University, Atlanta, GA.
Journal of cardiac failure
|March 16, 2024
概括
患有心力衰竭 (HF) 的黑人更有可能接受息治疗咨询 (PCC),但大多数转诊发生在疾病发展轨迹的晚期. 这凸显了HF患者及时获得息护理的潜在差异.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 健康差异 在健康上的差异
背景情况:
- 少数群体面临更高的心力衰竭 (HF) 发病率和死亡率.
- 对HF患者的息护理 (PC) 的种族差异仍未得到充分研究.
研究的目的:
- 调查因心力衰竭而死亡的患者在息护理咨询 (PCC) 中的种族差异.
- 检查与种族有关的PC访问的时间和特征.
主要方法:
- 对2012-2018年间死于HF的成年患者电子病历的回顾性分析.
- 多变量逻辑回归用于评估死者的特征与PCC之间的关联.
主要成果:
- 在1987年HF死者的45.8%接受了PCC.
- 黑人遗体接受PCC的几率比白人遗体高出60%.
- 与黑人死亡人群相比,白人死亡人群的病程较晚开始PCC,从咨询到死亡的中位时间较短.
结论:
- 研究结果表明,黑人HF患者对息护理需求的认知得到了改善.
- 然而,对于HF患者来说,大多数息治疗转诊是在疾病轨迹的晚期发生的,这表明需要更早的干预.
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