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在患有帕金森病的黑人个体中探索深度大脑刺激意愿
Chiamaka Onuigbo1, Chantale Branson2
1Emory School of Medicine, 100 Woodruff Circle, Atlanta, GA, 30322, USA.
概括
当症状恶化时,患有帕金森病 (PD) 的黑人成年人表现出对深度大脑刺激 (DBS) 的意愿增加,这表明系统障碍,而不是患者不情愿,限制了DBS的使用.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 健康差异 在健康上的差异
背景情况:
- 与非白人西班牙裔人相比,患有帕金森病 (PD) 的黑人患者的深度大脑刺激 (DBS) 率较低.
- 这种差异与黑人PD患者的健康状况较差有关.
研究的目的:
- 调查影响黑人PD成年人中DBS使用不足的患者层面因素.
- 评估患有PD的黑人成年人接受DBS的意愿,考虑到当前和假设的未来症状严重程度.
主要方法:
- 一项横截面试验调查对28名没有接受DBS的PD黑人成年人进行.
- 参与者来自亚特兰大的城市安全网医院诊所和当地支持小组.
- 调查评估了对DBS的看法,包括愿意接受手术的意愿,并以主题和二分法分析了回复.
主要成果:
- 大多数 (50%) 的人最初表示不愿意或不确定是否愿意接受当前的DBS.
- 在症状恶化的假设情景中,意愿显著增加,68%的人表示是的.
- 犹主要是由于手术方面的担忧和缺乏关于DBS的信息.
结论:
- 黑人PD患者减少DBS吸收可能源于可修改的系统性障碍,如有限的意识或转诊过程差异.
- 教育举措和公平获得先进疗法至关重要,以解决这种护理差距.
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