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Latina 女性晚期癌症患者的心理社会问题。

Psychosocial concerns among Latinas with life-limiting advanced cancers.

机构信息

Veterans Affairs Greater Los Angeles Healthcare System, USA.

出版信息

Omega (Westport). 2013;67(1-2):167-74. doi: 10.2190/OM.67.1-2.t.

Abstract

Research has demonstrated that limited dialogue in end-of-life (EOL) care can negatively impact decision-making and place of death. Furthermore, when vulnerable populations are faced with EOL cancer care, they experience issues resulting from previous gaps in services attributed to sociocultural and economic issues that influence EOL care. These conditions place an additional burden on disadvantaged populations which can cause distress, especially as disparate conditions continue to persist. Little is known about Latinos' psychosocial concerns that lead to distress in EOL care. The objective of this study is to explore Latinas' experiences with life-limiting cancer conditions to identify the EOL care concerns that impact their dying experience. This study used a phenomenological approach to explore the EOL care concerns of 24 Latinas receiving treatment for metastatic cancers in a public sector healthcare system in Los Angeles, California. In-depth interviews were recorded and transcribed, and qualitative analysis was performed using Atlas.ti software.

摘要

研究表明,临终关怀中有限的对话可能会对决策和死亡地点产生负面影响。此外,当弱势人群面临临终癌症护理时,他们会经历由于服务方面的先前差距而导致的问题,这些差距归因于影响临终关怀的社会文化和经济问题。这些情况给弱势群体带来了额外的负担,可能会导致痛苦,尤其是在不同的情况持续存在的情况下。关于导致临终关怀痛苦的拉丁裔的社会心理问题,人们知之甚少。本研究的目的是探讨拉丁裔女性在生命有限的癌症状况下的体验,以确定影响她们临终体验的临终关怀问题。本研究采用现象学方法,探讨了加利福尼亚州洛杉矶市公共部门医疗保健系统中 24 名接受转移性癌症治疗的拉丁裔女性的临终关怀问题。记录并转录了深入访谈,并使用 Atlas.ti 软件进行了定性分析。

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