对于患有乳腺癌的黑人妇女而言,文化上适当的患者-提供者沟通方法:范围审查
Diana C Litsas1, Kirsten Paulus2, Travis Nace3
1Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, Philadelphia, PA, 19122, USA. diana.litsas@temple.edu.
改善患者提供者沟通对于患有乳腺癌的黑人妇女至关重要. 质量沟通,重点关注互动,影响治疗坚持和健康结果,解决乳腺癌护理的关键差异.
科学领域:
- 在瘤学瘤学.
- 健康差异 在健康上的差异
- 患者与医疗服务提供者之间的沟通
背景情况:
- 黑人女性面临的乳腺癌死亡率比白人女性高40%.
- 低于最佳的患者-医疗服务提供者沟通可能会导致这种差异.
- 黑人乳腺癌患者独特的信息需求未得到充分研究.
研究的目的:
- 确定与黑人妇女沟通乳腺癌诊断和治疗选择的最佳实践.
- 综合当前关于患者与医疗服务提供者的沟通证据.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 在4个数据库和灰色文献中进行了搜索.
- 包括专注于黑人乳腺癌患者和患者提供者沟通的研究.
主要成果:
- 积极的患者评价与提供者互动有关,而不仅仅是专业知识.
- 负面评价源于治疗,副作用和复发情况的有限信息.
- 高质量的沟通与辅助治疗的坚持相关;低质量的停药/延迟.
结论:
- 患者对沟通质量的看法显著影响治疗决策和健康结果.
- 对于优化沟通和解决黑人乳腺癌患者护理障碍的干预措施,需要进一步的研究.
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