在早期乳腺癌妇女中,护理差异,症状困扰和化疗剂量的人际关系过程
Hiba Abujaradeh1, Susan R Mazanec2, Catherine M Bender1
1University of Pittsburgh School of Nursing, Pittsburgh, PA.
Nursing research
|July 18, 2025
概括
癌症护理沟通中的种族差异对黑人妇女的症状困扰和化疗坚持有负面影响. 解决患者-提供者沟通障碍对于公平的癌症治疗结果至关重要.
科学领域:
- 在瘤学瘤学.
- 健康差距 研究 研究 研究 研究
- 患者与医疗服务提供者之间的沟通
背景情况:
- 在癌症治疗中,种族和经济差异仍然存在,特别是在患者与临床医生的沟通中.
- 有效的沟通对于管理与治疗相关的痛苦和坚持化疗至关重要.
- 关于患者与医疗服务提供者的互动如何影响跨种族群体的症状困扰和坚持存在有限的研究.
研究的目的:
- 在人际护理过程中调查种族差异.
- 检查这些过程,症状困扰和化疗剂量遵守之间的关联.
- 专注于接受化疗的早期乳腺癌 (ESBC) 妇女.
主要方法:
- 招募了新诊断出ESBC的黑人和白人女性,并处方化疗.
- 利用了关心人际关系过程和症状痛苦度量表.
- 化学疗法坚持率计算为处方剂量与接收剂量的比率 (总化学疗法百分比).
主要成果:
- 黑人患者报告说,沟通较差,包括缺乏清晰度,感知种族歧视和不尊重工作人员.
- 贫困地区的患者报告种族歧视水平更高.
- 感知到的种族歧视与获得最佳化疗剂量的可能性较低有关.
- 更糟糕的沟通得分 (缺乏清晰度,歧视,不尊重员工,同情) 与更高的症状痛苦相关.
结论:
- 在ESBC化疗期间,患者与医疗服务提供者之间的沟通对于管理ESBC化疗期间的症状痛苦至关重要.
- 对歧视和偏见的看法可能会阻碍有效的症状沟通.
- 需要进一步的研究来开发包容性沟通协议来解决这些差异.
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