在多元文化临床环境中了解中国老年癌症患者:接受死亡率和解决脆弱性的误解
Yvonne W Leung1,2, Enid W Y Kwong3, Karen Lok Yi Wong4
1Department of Psychiatry, University of Toronto, Toronto, ON M5S 1A1, Canada.
Current oncology (Toronto, Ont.)
|May 24, 2024
概括
老年中国的癌症患者经常接受过早死亡,优先考虑家庭需求而不是自己的护理. 对文化敏感的支持对于提高他们的健康素养和与医疗保健服务的参与至关重要.
科学领域:
- 在瘤学瘤学.
- 社会医学科学 社会医学科学
- 老年学是一门学科.
背景情况:
- 中国移民,特别是老年人,患胃肠癌和死亡率的风险更高.
- 在这个人口群体中,医疗保健获取障碍和服务不足是普遍存在的,在COVID-19大流行期间恶化.
- 以前的研究表明,中国移民认为他们不需要医疗保健支持,这会影响及时干预.
研究的目的:
- 探索中国老年癌症患者的经验,以告知文化敏感的癌症护理策略的发展.
- 了解影响这群人寻求医疗保健行为的独特挑战和看法.
- 确定可以增强参与支持性护理服务的因素.
主要方法:
- 20个深度访谈的定性描述性分析.
- 采访以广东语和普通话进行,对60岁以上的参与者进行了采访,这些参与者被诊断患有第3或第4阶段的胃肠道癌.
- 字面转录和翻译之前对患者体验进行了主题分析.
主要成果:
- 发现了一个名为"过早接受:将死亡和死亡正常化"的现象.
- 关键主题包括接受死亡率,优先考虑家庭,保持自给自足,以及面对支持性护理障碍.
- 患者表现出对死亡的务实接受,经常为了家庭福祉而牺牲个人支持需求.
结论:
- 对中国老年癌症患者来说,文化敏感的健康素养计划解决语言障碍和价值观是必不可少的.
- 基于优势的方法,重点是家庭支持和实际照顾,可以改善性和症状管理.
- 加强与医疗保健服务的接触需要量身定制的干预措施,尊重文化规范和患者优先事项.
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