语言障碍对肺功能和喘控制的影响
Maria Paula Henao1, Joshua Malerich2, Daniel R George1
1Pennsylvania State University, College of Medicine, Hershey, Pennsylvania, USA.
概括
语言障碍使喘控制和非英语发言者的结果恶化. 卫生系统必须实施适当的语言护理,包括口译和双语教育,以减少差异.
科学领域:
- 健康差异研究 研究健康差异研究
- 临床喘管理
- 医疗服务研究 医疗服务研究
背景情况:
- 语言障碍不成比例地影响非英语人口患喘.
- 这些障碍会导致更糟糕的健康结果,包括急诊室访问和住院的增加.
- 在文化和语言上,适当的护理是解决这些差异的关键.
研究的目的:
- 评估语言障碍对喘控制的影响.
- 评估语言障碍对肺功能检测的影响.
- 分析与语言障碍有关的医疗保健利用模式.
主要方法:
- 对28346名12岁以上的喘患者进行了回顾性队列研究.
- 患者根据电子健康记录语言偏好被分类为英语或非英语.
- 喘结果通过喘控制测试 (ACT),肺功能测试 (PFT) 和医疗保健利用量;通过皮肤刺伤测试或特定IgE评估的亚托皮.
主要成果:
- 非英语说话者患上非控制性喘的比率更高 (ACT ≤20) 和预测的FEV1比率更低.
- 英语使用者更有可能记录ACT和PFT数据.
- 不说英语的人使用急诊室更频繁,但有较少的门诊;住院率相似.
结论:
- 语言障碍显著损害了喘管理,并导致英语水平有限的患者的治疗结果较差.
- 卫生系统应该优先考虑专业口译员,双语教育和技术 (例如AI翻译) 来缓解这些差异.
- 需要进一步的研究来评估语言一致干预措施对喘管理的长期影响.
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