Cruz-Oliver Dulce M, Talamantes Melissa, Sanchez-Reilly Sandra
1Department of Internal Medicine, Division of Geriatrics Medicine, Saint Louis University, St Louis, MO, USA.
Am J Hosp Palliat Care. 2014 Feb;31(1):87-97. doi: 10.1177/1049909113480841. Epub 2013 Mar 15.
Low-income and minority persons, such as Latinos, encounter substantial barriers in accessing effective end-of-life (EOL) care. This study intends to review current evidence on how to deliver EOL care to Latino elders.
Literature search in PubMed and Ovid Web sites of articles indexed in Medline (1948-2011), Cochrane (2005-2011), Embase, and PsychInfo (1967-2011) databases. Articles were included if they contained (1) study participants' race/ethnicity, (2) adults or population older than 60 years, and (3) information related to EOL care.
A total of 64 abstracts were reviewed, and 38 articles met the inclusion criteria. After reviewing the quality of evidence, 4 themes were identified and summarized: EOL preferences, hospice, Latino culture, and caregiving.
Latino elders have traditional acculturation practices, face EOL decisions with family support, and, if educated, are receptive toward hospice and caregiver support.
低收入人群和少数族裔，如拉丁裔，在获得有效的临终关怀方面面临重大障碍。本研究旨在回顾当前关于如何为拉丁裔老年人提供临终关怀的证据。
在PubMed和Ovid网站上检索Medline（1948 - 2011年）、Cochrane（2005 - 2011年）、Embase和PsychInfo（1967 - 2011年）数据库中索引的文章。如果文章包含（1）研究参与者的种族/民族，（2）成年人或60岁以上人群，以及（3）与临终关怀相关的信息，则纳入研究。
共审查了64篇摘要，38篇文章符合纳入标准。在评估证据质量后，确定并总结了4个主题：临终偏好、临终关怀、拉丁裔文化和护理。
拉丁裔老年人有传统的文化适应做法，在家人支持下面临临终决策，并且如果接受教育，会接受临终关怀和护理者支持。
