"语言障碍和支持性护理中的患者安全:两份案例报告弥合了系统层面的差距"
Gladys Janice Jimenez-Torres1, Monica Agosta1, Miriam Garcia-Hocker1
1Department of Palliative Care, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Palliative & supportive care
|January 18, 2026
概括
英语水平有限的患者在息治疗中面临沟通障碍,影响安全和质量. 解决这些问题需要不仅仅是口译员,重点是综合多语言工具和文化响应系统,以实现公平的护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 健康 公平 卫生 公平
- 卫生沟通健康沟通
背景情况:
- 患有非英语语言偏好 (NELP) 的患者在息和支持护理中遇到严重的沟通障碍.
- 这些障碍可能会损害护理质量,延迟治疗,并增加未满足的心理社会需求,特别是在健康素养较低的情况下.
研究的目的:
- 为了突出NELP患者在息治疗中由于语言障碍而面临的挑战.
- 为了说明沟通缺口对患者痛苦和安全的影响.
- 倡导医疗保健中语言可访问性的系统性改进.
主要方法:
- 两名西班牙语患者的案例研究,他们患有晚期癌症,面临语言障碍.
- 描述实施的跨学科干预措施,以解决沟通缺口.
- 分析电子医疗记录 (EMR) 的作用和对多语言工具的需求.
主要成果:
- 专业口译员,双语心理学和反教方法等干预措施改善了患者的信任和护理对齐.
- 在EMR中缺乏经过验证的西班牙工具,阻碍了症状报告和患者安全.
- 根据确定的需求,开始为西班牙模板开发EMR系统.
结论:
- 结构性语言的可访问性差距加剧了患者的痛苦,减少了自主权,并危及了安全.
- 仅靠口译服务是不够的;EMR中验证的多语言工具和标准化的翻译材料至关重要.
- 语言响应系统的制度化对于为NELP患者提供公平,安全和体面的息护理至关重要.
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