解决亚裔美国人社区住院护理不足的问题:一个广泛的综述
Tuzhen Xu1, Dan Song2, Gloria M Rose1
1Prairie View A&M University, College of Nursing, Houston, TX, USA.
The American journal of hospice & palliative care
|June 14, 2025
概括
亚裔美国人因沟通,文化信仰和医疗保健系统问题而面临临临临终身治疗的障碍. 在文化上有能力的护理和提供者培训对于改善终身护理的准入至关重要.
科学领域:
- 健康差异 在健康上的差异
- 在生命末期的护理.
- 医疗保健中的文化能力.
背景情况:
- 在亚裔美国人 (AA) 社区中,尽管国家有所改善,但临终关怀的利用率仍然很低.
- 了解这群人群特有的障碍对于公平的护理至关重要.
研究的目的:
- 系统地绘制有关亚裔美国社区宿舍使用障碍的现有文献.
- 确定沟通,文化信仰和医疗保健系统因素在宿舍利用中的作用.
主要方法:
- 2010年1月至2024年12月期间发表的研究范围审查.
- 使用Arksey和O'Malley的框架对七个主要学术数据库进行系统搜索.
- 包括25项研究,主要是横截面调查和定性描述性设计.
主要成果:
- 确定的关键障碍包括语言和沟通方面的挑战.
- 文化价值观,以家庭为中心的决策,子女虔诚和宗教信仰显著影响住院使用.
- 低度的培养和对医疗保健系统的不信任也是重要的障碍.
结论:
- 提高文化能力的宿舍护理对于解决亚裔美国人的终身护理差异至关重要.
- 建议为医疗保健提供者提供全面的文化能力培训.
- 进一步的研究应侧重于为不同亚裔美国人子组定制干预措施.
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