非洲裔美国人可以被鼓励成为高级护理计划的积极参与者吗?
12102 Old Fort Drive, Tallahassee, FL shorton67@hotmail.com.
Journal of National Black Nurses' Association : JNBNA
|April 2, 2024
概括
这项研究教育了非洲裔美国人关于高级护理计划 (ACP). 调查结果显示,人们越来越愿意制定预先指令,并在干预后讨论生命终端护理.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 老年学是一门学科.
背景情况:
- 非洲裔美国人不成比例地受到慢性疾病的影响.
- 系统性审查表明,与其他族群相比,非裔美国人对高级护理计划 (ACP) 和终身护理的参与率较低.
- 解决这些差异对于公平的医疗保健至关重要.
研究的目的:
- 增加非裔美国人参与高级护理计划 (ACP).
- 评估教育干预对非洲裔美国人对非洲和非洲的意识和意图的影响.
- 在这个人口群体中促进积极的终身护理讨论.
主要方法:
- 在两个当地教堂中采用了准实验性的设计.
- 30名非洲裔美国人参与者 (≥18岁) 完成了基于2003年明尼苏达州调查的前后调查.
- 对先进指令进行了为期30分钟的教育干预,随后对调查答案进行了对联t-test分析.
主要成果:
- 在调查前和调查后的反应之间观察到统计学上显著的差异 (p < 0.05).
- 所有30位参与者都表示打算考虑完成先进指令.
- 参与者表示,他们更有可能与他人讨论生命终端护理,或者在干预后寻求法律/医疗建议.
结论:
- 一个简短的教育干预可以显著提高非裔美国人参与高级护理计划的意愿.
- 虽然结果很有希望,但样本规模很小,无法进行概括.
- 高级实践注册护士应该优先考虑非洲裔美国人的ACP教育,需要进一步的研究来探索各种教育策略.
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