在加拿大长期护理院的华语居民中,生命末期急性护理的使用和与疼痛相关的结果
Prabasha Rasaputra1, Annie H Sun1, Anna E Clarke2
1Bruyère Health Research Institute, Ottawa, Ontario, Canada.
Journal of the American Medical Directors Association
|March 14, 2025
概括
在文化特定的长期护理 (LTC) 家庭中,说中文的居民在生命末期住院的次数更多. 然而,语言一致的护理减少了这些LTC居民的疼痛报告.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 健康和疾病的社会学
背景情况:
- 少数民族,包括说中文的人口,由于语言和文化障碍,面临医疗保健差异.
- 长期护理 (LTC) 设置在提供文化和语言上适当的终身护理方面提出了独特的挑战.
- 了解语言一致护理的影响对于改善LTC的健康平等至关重要.
研究的目的:
- 为了比较在语言一致与语言不一致的LTC家庭中说汉语的居民的医疗保健利用率和生命终结结果.
- 根据语言和设施类型,检查住院,急诊室访问,疼痛管理和死亡地点的差异.
- 确定LTC的少数民族人口在护理方面的潜在差异.
主要方法:
- 在加拿大安大略省死亡的69,630名LTC居民的回顾性队列研究 (2017年1月至2019年12月).
- 比较组包括:在华裔LTC家庭中说汉语的居民 (语言一致),在非华裔家庭中说汉语的居民 (语言不一致),在华裔家庭中说非汉语的居民,以及在其他家庭中说非汉语的居民.
- 评估结果:在生命的最后3天住院,急诊室访问,疼痛管理和死亡地点,使用来自居民评估仪器-最小数据集的数据.
主要成果:
- 居住在华裔LTC家庭的居民在生命的最后3天内更有可能被住院治疗,无论主要语言是什么.
- 与其他家庭的非华语居民相比,说中文的居民和在华裔家庭的居民在医院死亡的几率更高.
- 与其他家庭的非华语居民相比,在语言一致的家庭中,说汉语的居民在生命末期临近的频率和严重疼痛明显较低.
结论:
- 民族华人LTC家庭和语言一致的护理影响生命末期住院和死亡地点.
- 在语言一致的环境中接受护理与说中文的LTC居民改善疼痛管理有关.
- 调查结果强调了文化和语言定制护理的重要性,以减轻少数群体在LTC中的差异.
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