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通过英语水平进行紧急手术后的沟通:一项探索性定性研究
Kelsey Ogomori1, Julia K Axelrod2, Emily Finlayson3
1University of California, San Francisco School of Medicine, San Francisco, California.
The Journal of surgical research
|April 24, 2025
概括
具有有限英语水平 (LEP) 的老年人在创伤和紧急手术护理中面临沟通障碍. 专业口译员的错误和不愿意提供反加剧了这些挑战,影响了患者的自主权和信息获取.
科学领域:
- 老年人手术是一门老年人手术.
- 卫生沟通健康沟通
- 定性研究是指质量研究.
背景情况:
- 具有有限英语水平 (LEP) 的老年人是创伤和紧急整形外科 (EGS) 的重要患者群体.
- 对于LEP患者来说,沟通障碍很普遍,急性手术入院可能会使情况恶化.
- 这种脆弱的人群及其在手术环境中的特定沟通需求尚未得到充分研究.
研究的目的:
- 探索因创伤或EGS而住院的英语能力有限 (LEP) 和英语能力有限 (EP) 的老年人沟通经验.
- 确定影响患者理解,自主性和外科护理环境中的反因素.
主要方法:
- 探索性定性研究,涉及65岁以上轻度认知障碍/没有认知障碍的创伤/EGS住院患者的有目的采样.
- 与患者和家人进行半结构面试,使用专业翻译为LEP患者.
- 采访成绩单的专题分析,使用修改的接地理论;检查口译员的错误.
主要成果:
- 三个主要主题出现了:缺乏信息,失去自主权和反/宣传.
- 无论是LEP还是EP患者都报告了他们对护理和对提供者的依赖的知识有限.
- EP患者和LEP家庭成员提出批评,而LEP患者犹不决提供反;专业口译员犯错误.
结论:
- 语言熟练程度和沟通方式有助于LEP患者在创伤/EGS中的重大沟通障碍.
- 专业口译员的错误可能加剧了这些困难.
- 这些发现凸显了需要进一步研究沟通对不同外科病患群体患者结果的影响.
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