德国接受瘤手术的穆斯林患者的外科手术治疗:一项回顾性研究
Aysun Tekbaş1,2, M von Lilienfeld-Toal3, F Sayrafi4
1Department of General, Visceral and Vascular Surgery, Jena University Hospital, Friedrich Schiller University Jena, Am Klinikum 1, 07747, Jena, Germany. Aysun.Tekbas@med.uni-jena.de.
BMC medical ethics
|October 18, 2024
概括
医疗保健提供者经常忽视穆斯林患者在术后护理中的特定药物需求. 这项研究发现,无论宗教信仰如何,人们都在持续使用药物,这凸显了穆斯林患者在文化敏感治疗方面的差距.
科学领域:
- 医学伦理学和文化能力
- 药理学和治疗学 药理学和治疗学
- 胃肠道手术 胃肠道手术
背景情况:
- 有效的医疗保健需要了解患者的不同背景,特别是文化和宗教信仰.
- 穆斯林患者对影响医疗治疗有独特的考虑,需要文化敏感的方法.
- 术后药物管理对于手术患者至关重要,特别是那些有特定宗教需求的人.
研究的目的:
- 评估在接受胃肠道和胰腺手术的穆斯林患者的术后药物选择中是否考虑了伊斯兰信仰.
- 将穆斯林患者的药物选择与与之匹配的非穆斯林患者队列进行比较.
主要方法:
- 从2004年1月到2023年7月,对5272名患者进行了回顾性分析.
- 使用瘤学方法识别了5名穆斯林患者,与基于年龄,性别和程序的非穆斯林对照进行了1:3匹配.
- 对皮下,口服和静脉注射药物的成分和与伊斯兰原则的兼容性进行审查.
主要成果:
- 患者记录中没有宗教信仰的记录.
- 在两组中一致的药物管理,用埃诺沙巴林代替伊斯兰教合规的 fondaparinux.
- 口服不符合标准的药物,包括含有动物制造的等的囊,尽管伊斯兰的饮食限制和可用的替代品.
结论:
- 在术后护理中未能承认穆斯林患者的宗教需求,可能导致忽视了替代药物需求.
- 量身定制的医疗护理需要考虑所有患者的文化和宗教背景.
- 将多样性和文化能力纳入医学教育对于医生准备和以患者为中心的护理至关重要.
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