黑人周产期患者之间的患者-临床医生沟通:系统性审查
Zoe T Duberstein1,2, Keisha Bell3,4, Ellen Poleshuck3,4
1Psychology, University of Rochester, Rochester, NY, USA. zduberst@ur.rochester.edu.
Archives of women's mental health
|March 11, 2025
概括
黑人患者报告说,由于沟通不良,他们在产周护理中受到歧视和排斥. 在产科护理中解决这些问题对于改善母亲和婴儿健康结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 健康差距 研究 研究 研究 研究
- 卫生沟通健康沟通
背景情况:
- 在美国,黑人周产期个体患病率和死亡率不成比例地高.
- 在产科护理中患者与临床医生的沟通不良是导致这些差异的潜在因素.
- 本综述侧重于黑人患者在围产期医疗保健中面临的沟通挑战.
研究的目的:
- 系统地审查有关黑人患者在围产期医疗保健机构中患者与临床医生沟通的现有文献.
- 确定与沟通经验相关的关键主题和发现.
- 为改善黑人周产期护理质量提供基础.
主要方法:
- 在PubMed,PsycINFO和Web of Science进行了系统的文献搜索.
- 包括2006年1月至2024年12月间发表的研究.
- 在文章选择和数据综合方面遵循了PRISMA指南.
主要成果:
- 共有29项研究 (11项定性,18项定量) 符合纳入标准.
- 黑人患者经常报告有过歧视的经历.
- 患者还报告说,他们被排除在决策之外,并感到临床医生忽视了他们.
结论:
- 调查结果强调了黑人患者围产期护理中的重大沟通障碍.
- 解决这些沟通问题对于减少黑人母亲和婴儿发病率和死亡率至关重要.
- 审查建议采取干预措施的领域,以改善沟通质量和健康结果.
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