Lovisenberg Diakonale Høgskole, Oslo, Norway.
Hospice Lovisenberg, Oslo, Norway.
Palliat Support Care. 2013 Dec;11(6):523-30. doi: 10.1017/S1478951513000102. Epub 2013 Aug 5.
The purpose of this study was to draw out and coalesce the topic-specific information found in research literature regarding the provision of culturally sensitive palliative practice.
This was a literature study and Gadamerian hermeneutic text analysis.
It is more difficult to assess the level of pain in ethnic minority patients, and healthcare providers may become frustrated and interpret pain symptoms as fabrication. These patients are more likely to receive inadequate pain medication. Physical symptom management has become the priority in palliative care, but pain must also be viewed from the perspective of its social, cultural, and spiritual significance. Collectivist values may lead to an other-reliant and dependent coping style. This and religious demands may cause the family to rally around the patient. Many dying patients wish to be cared for at home by their families, but as the patient often has complex needs, the family may not be able to cope with the patient's care.
Formal education and in-service programs are needed for healthcare providers, together with empirical studies regarding how to achieve more culturally appropriate care in intercultural palliative practice. The immigrant population needs to be educated about cancer and the various kinds of palliative and hospice care offered in the society in which they now live.
本研究旨在梳理和整合有关提供文化敏感的姑息治疗实践的研究文献中的特定主题信息。
这是一项文献研究和伽达默尔解释学文本分析。
评估少数民族患者疼痛程度更加困难，医护人员可能会感到沮丧，并将疼痛症状解释为捏造。这些患者更有可能接受不充分的疼痛药物治疗。姑息治疗中身体症状的管理已成为优先事项，但疼痛也必须从其社会、文化和精神意义的角度来看待。集体主义价值观可能导致依赖他人和依赖的应对方式。这一点以及宗教要求可能会促使家庭围绕患者团结起来。许多临终患者希望在家中由家人照顾，但由于患者通常有复杂的需求，家人可能无法应对患者的护理。
医护人员需要接受正规教育和在职培训，同时还需要进行关于如何在跨文化姑息治疗实践中实现更具文化适应性的护理的实证研究。移民群体需要接受有关癌症以及他们现在所在社会提供的各种姑息治疗和临终关怀的教育。
