关于临终关怀质量的种族/民族观点。
Racial/ethnic perspectives on the quality of hospice care.
作者信息
Campbell Cathy L, Baernholdt Marianne, Yan Guofen, Hinton Ivora D, Lewis Erica
机构信息
The University of Virginia, School of Nursing, Charlottesville, VA 22908, USA.
出版信息
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。
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