非洲裔美国人晚期癌症患者的文化敏感预先护理规划:试点随机对照试验
Tori Knox Rice1, Ramona L Rhodes2
1Division of Hematology (T.K.R.), University of Colorado Anschutz Medical Campus, Denver, Colorado, USA.
Journal of pain and symptom management
|April 18, 2024
概括
对非洲裔美国癌症患者进行试点预先护理规划 (ACP) 干预是可行的和可以接受的. 文化敏感的节目增加了讨论预先指示的意图.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 在事先护理计划 (ACP) 中记录了持续的种族差异.
- 很少有干预措施针对这些差异,特别是针对少数群体.
研究的目的:
- 评估文化敏感的试点ACP干预措施的可行性,可接受性和初步有效性.
- 该干预旨在为患有癌症的非裔美国患者在安全网医疗保健系统中进行.
主要方法:
- 76名II-IV期癌症患者被随机分配到干预或通常护理组.
- 这次干预涉及一名非专业的卫生顾问,视频,并促进了非洲和非洲国家和地区的讨论.
- 后勤回归分析了意图讨论ACP的预测因素.
主要成果:
- 该干预是可行的 (89.5%完成) 和可接受的 (94.1%会推).
- 与对照组相比,干预组参与者在干预后1个月和3个月显示出更多的意图讨论预先指示.
- 在6个月后没有发现任何显著差异.
结论:
- 对非洲裔美国癌症患者来说,一个文化敏感的ACP计划是可行的和可以接受的.
- 该干预措施在促进患者和医疗保健团队之间促进非洲和非洲国家和地区的讨论方面表现有前途.
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