探索为黑人患有血液癌症的黑人患者提供息护理的景观:一个范围审查
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Osborn Owusu Ansah1, Silas Selorm Daniels-Donkor2, Leila Ledbetter3
1Duke University School of Nursing, DurhamNC, USA.
Palliative & supportive care
|April 22, 2025
概括
黑人患有血液恶性瘤 (HM) 的患者不太可能接受息治疗 (PC),尽管它的好处. 这一审查突出了差异,并呼吁采取干预措施,改善这种服务不足的人群的PC接入.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 健康差异 在健康上的差异
背景情况:
- 息治疗 (PC) 显著改善了癌症患者的生存率和生活质量.
- 息治疗 (PC) 在血液恶性瘤 (HM) 中未得到充分利用,特别是在黑人患者中.
- 与白人患者相比,黑人HM患者的症状负担更高,生存率更低.
研究的目的:
- 确定和描述美国黑人患有血液性恶性瘤 (HM) 患者对息护理 (PC) 使用的当前知识.
主要方法:
- 使用乔安娜·布里格斯研究所的方法进行了范围审查.
- 在 MEDLINE (PubMed),Embase,Scopus 和 Web of Science 中进行了搜索.
- 关键词包括"黑人/非洲裔美国患者"",HM"和"PC";文章使用Covidence软件进行了选.
主要成果:
- 包括七篇出版物,主要使用来自大型国家数据库的定量数据.
- 四项研究表明,与白人患者相比,黑人HM患者接受或使用PC的可能性较低.
- 息治疗 (PC) 获得与改善的结果相关,包括降低住院费用和减少息放射治疗后的30天死亡率.
结论:
- 黑人HM患者在息治疗 (PC) 使用方面存在显著的不平等,反映了固体癌症患者的趋势.
- 需要进一步的研究来了解这些差异的决定因素.
- 开发可测试的干预措施对于提高这种服务不足的人群中PC使用率至关重要.
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