部落人民的息护理需求和挑战:定性分析
1Department of Social Sciences, School of Social Sciences and Languages, Vellore Institute of Technology, Vellore, 632014, India.
BMC palliative care
|March 21, 2025
概括
喀拉拉邦的部落社区获得息护理的机会受到意识,文化因素和劳动力短缺的限制. 对文化敏感的医疗保健整合对于改善部落健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 土著研究土著研究.
背景情况:
- 原住民人口面临着严重的边缘化和健康差异.
- 与非土著人口相比,部落社区特别缺乏息护理服务.
- 这项研究解决了在喀拉拉邦部落社区内的息护理的具体挑战和需求.
研究的目的:
- 探索在向喀拉拉邦的部落社区提供息护理时遇到的挑战.
- 确定有关息治疗的部落人口未得到满足的需求.
- 为土著群体制定文化敏感的息护理策略提供信息.
主要方法:
- 在Kerala的Wayanad区的Paniya部落社区中采用了一种案例研究方法.
- 数据收集涉及与部落成员,ASHA工作人员和倡导者的半结构化访谈和观察.
- 使用反射主题分析,包括开放和轴向编码来分析定性数据.
主要成果:
- 关于息护理的挑战,出现了九个主要主题:缺乏意识,可访问性问题,财务限制,文化信仰,沟通障碍和医疗保健工作人员不足.
- 对12名参与者 (8名部落成员,2名倡导者,2名阿莎工作者) 的采访显示,大多数人生活在联合家庭中,女性经常在MGNREGA下工作.
- 关键的障碍包括文化习惯,恐惧和有限的专业息护理服务.
结论:
- 息治疗对部落人口至关重要,但分娩必须是文化上可以接受和敏感的.
- 建议部落社区采用融合传统和现代医学的混合医疗保健模式.
- 加强对综合性息护理服务和量身定制的医疗保健计划的获取,对于解决部落居民的整体需求至关重要.
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