混合方法:非西班牙裔白人和黑人儿童急性手术后疼痛经历的以家庭为中心的研究
Julia Kumar1, Dylan Atkinson2, Adaora Chima3
1Department of Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States; University of Cincinnati College of Medicine, Cincinnati, OH, United States.
The journal of pain
|July 13, 2025
概括
种族差异影响儿科急性疼痛护理. 社会经济因素,歧视和医疗保健相互作用影响非西班牙裔黑人儿童的痛苦经历,影响了满意度和信任度.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 健康中的社会文化因素
- 健康 公平 研究 健康 公平 研究
背景情况:
- 儿童疼痛管理中的种族和社区差异是重要的问题.
- 术后急性疼痛经历受到复杂的社会文化和医疗保健系统因素的影响.
- 了解这些影响对于改善公平的疼痛护理至关重要.
研究的目的:
- 探索影响非西班牙裔黑人 (NHB) 和白人 (NHW) 儿童及其照顾者的急性儿科疼痛经历的社会文化因素和医疗保健相互作用.
- 确定NHB和NHW二之间对疼痛管理满意度和信任的共同和独特影响.
- 整合定性和定量数据,以全面了解儿科疼痛护理方面的差异.
主要方法:
- 一项混合方法研究,涉及19名NHB和19名NHW患有急性术后疼痛的儿童及其照顾者.
- 焦点小组探讨了满意度,痛苦经历和信念;定量评估测量了心理社会因素,不良童年经历 (ACE) 和社会经济地位.
- 整合了定性数据的专题编码和定量数据的统计分析.
主要成果:
- 富有同情心的护理,共享决策和提供者响应能力提高了两组人的满意度;保险延迟降低了它.
- NHB二元组报告了额外的负面影响,包括缺乏疼痛验证,种族歧视和社会经济限制.
- 与NHW护理人员相比,NHB护理人员的剥夺指数,种族和种族微攻击 (REMS),ACE和对儿童疼痛的保护反应更高.
结论:
- 社会经济因素,种族偏见,信任和医疗保健提供者的互动显著影响了儿科急性手术后疼痛经历.
- 无论是NHB和NHW队伍都表现出阿片类药物犹,坚忍,以及基于分心的疼痛应对策略.
- 解决系统层面的因素对于实现公平的儿科疼痛管理至关重要.
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