对老年黑人手术患者进行文化适应的外科期心理健康干预
Joanna Abraham1, Krista E Cooksey2, Katherine J Holzer3
1Department of Anesthesiology (JA, KJH, DM, MSA), Washington University School of Medicine, St. Louis, MO; Institute for Informatics, Data Science and Biostatistics (JA), Washington University School of Medicine, St. Louis, MO.
概括
老年黑人手术患者在外科手术前的精神健康护理中遇到重大障碍. 需要适应文化的干预,以解决影响其福祉的个人,人际关系和结构因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康 心理健康
- 外科手术的结果
背景情况:
- 术后精神健康显著影响老年黑人患者的手术结果.
- 目前缺乏针对这一群体量身定制的基于证据的外科手术期间干预措施.
研究的目的:
- 探索影响老年黑人手术患者患有心理健康问题的外科护理经验的因素.
- 确定文化适应的术后精神健康干预的设计和实施要求.
主要方法:
- 六个焦点小组与15名老年黑人患者 (≥50岁) 进行了研究,这些患者在过去5年内接受过手术,并经历过痛苦,焦虑或抑郁.
- 采用了混合的诱导-演主题方法,结合了研究伙伴,干预者和社区成员的见解.
- 国家少数民族健康研究所和健康差异研究框架指导了这项分析.
主要成果:
- 患者报告说,在术后护理期间,他们的心理健康问题没有得到充分解决.
- 关键的压力因素包括心理健康服务获取障碍,临床医生偏见 (年龄歧视,治疗偏见) 和缺乏专业联系.
- 患者采用了诸如治疗,信仰和社会支持等应对策略.
结论:
- 老年黑人手术患者的外科经验强调了需要以患者为中心,文化适应的心理健康干预措施.
- 干预措施应针对个人/行为和人际关系层面,整合心理和药理学的方法.
- 这些发现有助于开发一种多组件干预措施,以增强外科手术后的精神健康.
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