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儿科重症监护病房中家长/照顾者对护理及决策的满意度:英语裔白人与拉丁裔的比较

Satisfaction with care and decision making among parents/caregivers in the pediatric intensive care unit: a comparison between English-speaking whites and Latinos.

作者信息

Epstein David, Unger Jennifer B, Ornelas Beatriz, Chang Jennifer C, Markovitz Barry P, Dodek Peter M, Heyland Daren K, Gold Jeffrey I

机构信息

Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Department of Preventive Medicine, Keck School of Medicine at University of Southern California, Los Angeles, CA, USA.

出版信息

J Crit Care. 2015 Apr;30(2):236-41. doi: 10.1016/j.jcrc.2014.11.009. Epub 2014 Dec 2.

Abstract

PURPOSE

Because of previously documented health care disparities, we hypothesized that English-speaking Latino parents/caregivers would be less satisfied with care and decision making than English-speaking non-Latino white (NLW) parents/caregivers.

MATERIALS AND METHODS

An intensive care unit (ICU) family satisfaction survey, Family Satisfaction in the Intensive Care Unit Survey (pediatric, 24 question version), was completed by English-speaking parents/caregivers of children in a cardiothoracic ICU at a university-affiliated children's hospital in 2011. English-speaking NLW and Latino parents/caregivers of patients, younger than 18 years, admitted to the ICU were approached to participate on hospital day 3 or 4 if they were at the bedside for greater than or equal to 2 days. Analysis of variance, χ(2), and Student t tests were used. Cronbach αs were calculated.

RESULTS

Fifty parents/caregivers completed the survey in each group. Latino parents/caregivers were younger, more often mothers born outside the United States, more likely to have government insurance or no insurance, and had less education and income. There were no differences between the groups' mean overall satisfaction scores (92.6 ± 8.3 and 93.0 ± 7.1, respectively; P = .80). The Family Satisfaction in the Intensive Care Unit Survey (pediatric, 24 question version) showed high internal consistency reliability (α = .95 and .91 for NLW and Latino groups, respectively).

CONCLUSIONS

No disparities in ICU satisfaction with care and decision making between English-speaking NLW and Latino parents/caregivers were found.

摘要

目的

鉴于先前记录的医疗保健差异,我们推测说英语的拉丁裔父母/照顾者对医疗服务和决策的满意度会低于说英语的非拉丁裔白人(NLW)父母/照顾者。

材料与方法

2011年,一家大学附属医院的心胸重症监护病房(ICU)中,说英语的儿童父母/照顾者完成了一份重症监护病房家庭满意度调查问卷(儿科版,24个问题)。如果入住ICU的18岁以下患者的NLW和拉丁裔说英语的父母/照顾者在床边陪伴时间大于或等于2天,且在住院第3天或第4天,会邀请他们参与调查。采用方差分析、χ²检验和学生t检验。计算Cronbach α系数。

结果

每组有50名父母/照顾者完成了调查。拉丁裔父母/照顾者更年轻,更多是在美国境外出生的母亲,更有可能拥有政府保险或没有保险,受教育程度和收入较低。两组的总体平均满意度得分没有差异(分别为92.6±8.3和93.0±7.1;P = 0.80)。重症监护病房家庭满意度调查问卷(儿科版,24个问题)显示出较高的内部一致性信度(NLW组和拉丁裔组的α分别为0.95和0.91)。

结论

未发现说英语的NLW和拉丁裔父母/照顾者在对ICU护理和决策的满意度上存在差异。

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