Campbell Cathy L, Baernholdt Marianne, Yan Guofen, Hinton Ivora D, Lewis Erica
The University of Virginia, School of Nursing, Charlottesville, VA 22908, USA.
Am J Hosp Palliat Care. 2013 Jun;30(4):347-53. doi: 10.1177/1049909112457455. Epub 2012 Sep 4.
Diversity in the US population is increasing, and evaluating the quality of culturally sensitive hospice care is important. A survey design was used to collect data from 743 patients enrolled in hospice or their family members or caregivers. Race/ethnicity was not significantly associated with any of the hospice interventions or outcomes. Patients were less likely to be satisfied with the overall hospice care (OR = 0.23, 95% CI = 0.065-0.796, P = .021) compared to other type of respondents. Satisfaction with emotional support was substantially associated with the increased likelihood of satisfaction with pain management (OR = 3.82, 95% CI = 1.66-8.83, P = .002), satisfaction with other symptom management (OR = 6.17, 95% CI = 2.80-13.64, P < .001), and of overall satisfaction with hospice care (OR = 20.22, 95% CI = 8.64-47.35, P < .001).
美国人口的多样性正在增加，评估具有文化敏感性的临终关怀服务质量很重要。采用调查设计从743名临终关怀患者或其家庭成员或护理人员中收集数据。种族/民族与任何临终关怀干预措施或结果均无显著关联。与其他类型的受访者相比，患者对临终关怀服务总体满意度较低（OR = 0.23，95% CI = 0.065 - 0.796，P = 0.021）。对情感支持的满意度与疼痛管理满意度增加的可能性（OR = 3.82，95% CI = 1.66 - 8.83，P = 0.002）、对其他症状管理的满意度（OR = 6.17，95% CI = 2.80 - 13.64，P < 0.001）以及对临终关怀服务总体满意度（OR = 20.22，95% CI = 8.64 - 47.35，P < 0.001）密切相关。
