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严格的隔离措施对英语以外的语言家庭的影响
Polina Frolova Gregory1,2, Sanyukta Desai3, Corrie E McDaniel1,2
1Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.
Health equity
|March 24, 2025
概括
除英语以外的护理语言 (LOE) 的住院儿童也获得了类似的口译服务和及时咨询,即使在严格的隔离预防措施下. 这表明,尽管存在沟通障碍,但公平的护理是可以实现的.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 卫生公平性健康公平性
- 儿科医院医学 儿科医院医学
背景情况:
- 除英语以外的照顾语言 (LOE) 的儿童面临不公平照顾的风险.
- 严格的隔离预防措施可以加剧儿童医疗保健中的沟通障碍.
- 确保有效的沟通对于为所有住院儿童提供公平护理至关重要.
研究的目的:
- 检查隔离预防措施与使用专业口译员以及住院儿童的咨询时间之间的关联.
- 评估严格隔离是否会影响非英语说话的儿科患者的护理频率和及时性.
- 确定在严格隔离单元 (SIU) 中的LOE患者的沟通支持中的潜在差异.
主要方法:
- 从2020年2月到2021年12月在SIU中对儿科接触的回顾性队列研究.
- 负二项式回归分析用于比较SIU和非SIU设置之间的解释率.
- 分析SIU内部的英语和LOE接触者在72小时内面对面的咨询率.
主要成果:
- 在487个SIU遭遇中,126个 (26%) 涉及LOE患者.
- 在LOE患者的SIU中解释率 (3.9/天) 与非SIU急性护理单位 (5.0/天) 没有显著差异.
- 及时的面对面咨询 (在72小时内) 对SIU的LOE (64%) 和英语 (70%) 患者来说是相似的,没有统计学上显著的差异.
结论:
- 该研究符合日常解释的机构标准,即使存在隔离障碍.
- 在SIU的LOE患者的解释率与非SIU环境中的解释率相当.
- 住院患有LOE的儿童获得了公平的沟通支持和及时咨询,无论隔离状态如何.
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