疼痛差异归因于医疗保健机构的语言少数群体
Paulina S Lim1, Michelle A Fortier2, Zeev N Kain3
1Department of Anesthesiology and Perioperative Care, University of California, Irvine, California; UCI Center on Stress and Health, University of California Irvine, Irvine, California.
The journal of pain
|October 2, 2024
概括
除英语以外的其他语言的儿童由于沟通障碍,经历了更糟糕的疼痛结果. 解决临床医生偏见,文化误解和系统性问题对于公平的儿科疼痛护理至关重要.
科学领域:
- 健康差异 在健康上的差异
- 儿科疼痛管理 儿科疼痛管理
- 语言少数群体健康 语言少数群体
背景情况:
- 美国人口中有很大一部分除英语外还会说其他语言,这影响了医疗保健的沟通.
- 对于语言障碍如何影响儿科疼痛沟通和结果的理解有限.
- 语言差异导致非英语家庭的医疗保健体验不平等.
研究的目的:
- 对口语对儿科疼痛评估和结果的影响进行叙事审查.
- 确定导致非英语儿童在医院环境中的疼痛差异的假设因素.
- 为了突出这一关键领域缺乏经验研究.
主要方法:
- 对现有文献进行了叙事审查.
- 分析的重点是口语如何影响儿科疼痛沟通.
- 讨论了导致疼痛差异的假设因素.
主要成果:
- 与说英语的同行相比,说英语以外的其他语言的儿童和家庭表现出不同的疼痛结果.
- 假设的因素包括临床医生偏见,疼痛概念的错误沟通,文化误解和系统性问题,如不充分的解释服务.
- 在这些差异方面,实证研究,包括随机对照试验,显著缺乏.
结论:
- 语言障碍在儿科疼痛评估和管理中造成了显著的差异.
- 要减少这些差异,必须解决个人,人际,文化和系统因素.
- 未来的研究应该专注于开发文化相关的干预措施,以改善语言多样化的儿童和家庭的疼痛护理.
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