患者的主要语言,身体限制和急诊室肌肉内镇静之间的关联
Anusha Kumar1, Caitlin R Ryus1, Jossie A Carreras Tartak2
1Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
概括
患者的主要语言影响急诊室的护理. 与其他语言群体不同,西班牙语和葡萄牙语说者体验的身体克制和镇静作用较少,突出了沟通需求.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 语言健康差异的差异
背景情况:
- 有效的沟通对于缓解患者激动期间的升级至关重要.
- 有限的研究存在于患者的主要语言对管理激动症状的影响.
- 这项研究调查了初级语言与在急诊室 (ED) 使用身体约束和肌内 (IM) 镇静之间的关联.
研究的目的:
- 评估患者的主要语言与使用身体限制之间的关系.
- 评估患者初级语言与IM镇静剂的使用之间的关联.
- 根据语言因素,识别紧急护理中的潜在差异.
主要方法:
- 美国东北部13个急诊部 (ED) 电子病历的回顾性队列分析.
- 从2013年到2023年收集的数据是针对成年患者 (18岁以上).
- 用于分析身体限制和IM镇静命令的后勤回归模型,根据人口和临床特征进行调整,包括主要语言.
主要成果:
- 分析包括不同语言群体超过340万次ED访问.
- 与英语发言者相比,西班牙语和葡萄牙语发言的患者表现出身体克制和IM镇静的几率较低.
- 阿拉伯语,意大利语,其他和未知语言的说话者有更高的身体克制和IM镇静的几率.
结论:
- 患者的主要语言与ED体力限制和IM镇静的差异性使用有关.
- 语言因素,文化解释,临床相互作用和沟通策略可能会导致这些差异.
- 需要进一步的研究来理解和解决患者护理中的这些基于语言的差异.
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