保持腹腔透析:关于黑人和拉丁裔患者经验的定性研究
Elina Serrano1, Giana H Davidson2, Matthew B Rivara3
1Elina Serrano (eserran@uw.edu), University of Washington, Seattle, Washington.
Health affairs (Project Hope)
|August 4, 2025
概括
黑人和拉丁裔患者在末期病治疗中经历了显著的差异,特别是在腹腔透析中. 解决心理健康,家庭支持和文化障碍对于公平的护理至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 健康差异 在健康上的差异
- 定性研究是一种定性研究.
背景情况:
- 黑人和拉丁裔患者面临着不成比例的末期病 (ESRD) 负担.
- 存在显著的治疗差异,包括腹腔透析 (PD) 的使用不足和从家庭PD转换到中心血液透析的更高转换率.
研究的目的:
- 探索黑人和拉丁裔患者接受腹腔透析的经验.
- 确定影响其治疗过程的因素,并为政策建议提供信息.
主要方法:
- 使用深入的,半结构化的访谈进行定性研究.
- 将于2022年7月至2023年6月在华盛顿州西雅图举行.
- 包括十二名黑人和八名拉丁裔参与者接受或从家中转移PD.
主要成果:
- 影响PD体验的关键因素包括心理健康不佳,家庭环境的"医疗化",以及语言和文化障碍.
- 这些挑战有助于PD利用率和少数群体的结果的差异.
结论:
- 需要采取政策干预措施,以改善PD患者获得心理健康服务的机会.
- 支持以社区为基础的供应储存和文化敏感的医疗保健是必不可少的.
- 解决这些障碍可以增强黑人和拉丁裔患者的PD体验.
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