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膀癌激进囊切除术后,英语水平有限的患者间术后沟通模式的差异
Abby L Chen1, Chiyuan A Zhang1, John Ogunkeye1
1Department of Urology, Stanford University School of Medicine, Stanford, CA.
Urologic oncology
|October 4, 2025
概括
讲英语的患者在急性囊切除术 (RC) 后的交流频率高于英语水平有限的患者,尽管医疗保健的使用情况仍然相似. 这突显了手术后的通信在RC之后的潜在差异.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 根源性囊切除术 (RC) 后的一致的后续护理对于改善膀癌患者的生存率至关重要.
- 在RC之后的术后沟通模式上存在有限的研究,特别是关于语言障碍.
- 了解沟通差异对于公平的患者护理至关重要.
研究的目的:
- 为了比较术后的沟通频率和英语患者 (ESP) 和英语能力有限的患者 (LEP) 在RC后的医疗保健利用率.
- 为了确定影响激进囊切除术后期沟通模式的因素.
主要方法:
- 100名接受RC的患者 (50名ESP,50名LEP) 的回顾性队列研究,根据年龄和性别进行匹配.
- 倾向性得分匹配用于控制混变量.
- 用多变量线性回归分析了90天内人口统计,通信 (电话/消息) 和医疗保健利用情况的数据.
主要成果:
- 手术后的沟通频繁 (82%的患者),ESP平均接触者比LEP患者多 (6.04比3.80),尽管在统计学上不显著 (P=0.08).
- ESP更有可能发起沟通并获得安慰 (P=0.03),而LEP患者更多地依赖家庭 (P<0.001) 并有通讯导致门诊治疗 (P=0.01).
- 新膀重建与增加的沟通相关;在ESP和LEP患者之间没有观察到整体医疗利用的显著差异.
结论:
- 手术后的沟通在RC后很常见,ESP和LEP患者之间的频率差异值得注意,尽管在统计学上并不显著.
- 语言能力似乎影响了沟通动态,LEP患者更有可能使用中间人并需要进一步的临床评估.
- 主要语言似乎不会影响术后医疗保健利用率,这表明沟通障碍可能不会转化为对护理的差异性准入.
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