超越单词的理解:英语水平对实体器官移植后术后结果的影响
Stalin Canizares1, Ritah Chumdermpadetsuk1, Benjamin G Allar1
1Division of Transplant Surgery, Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
American journal of surgery
|September 12, 2025
概括
有限英语水平 (LEP) 的患者在器官移植后经历了更糟糕的结果,包括更高的再入院率和更长的住院时间. 解决语言障碍对于改善移植接受者护理至关重要.
科学领域:
- 移植手术 移植手术
- 健康差异 在健康上的差异
- 患者的治疗结果.
背景情况:
- 有效的沟通对于成功的器官移植至关重要.
- 在移植过程中,语言失调带来了重大挑战.
- 手术后的结果受到患者与医疗服务提供者的沟通的影响.
研究的目的:
- 为了比较英语和有限英语水平 (LEP) 移植受体之间的结果.
- 调查LEP对患者/移植存活率,排斥,再入院和住院时间的影响.
- 确定LEP患者在移植过程中所面临的具体挑战.
主要方法:
- 倾向匹配的队列分析比较LEP和英语患者.
- 对于肝脏和脏移植接受者进行单独评估.
- 统计分析包括危险比率,线性回归和后勤回归.
- 再接收理由的定性分析 (词云,主题分析).
主要成果:
- 肝移植患者的再入院风险增加,住院时间更长 (LOS).
- 接受LEP脏移植的接受者经历了更长时间的LOS.
- 两组之间没有报告患者/移植存活率或排斥率的显著差异.
结论:
- 有限的英语水平与移植受体的手术后结果较差有关.
- 语言障碍是不同LEP人群面临的更广泛挑战的一部分.
- 需要专注于加强教育和系统层面的改变的干预措施,以改善LEP患者的临床结果.
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