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[土耳其移民如何评价德国一家三级医院的文化敏感性?]

[How do Turkish immigrants evaluate cultural sensitivity in a German tertiary hospital?].

作者信息

Giese Arnd, Uyar Müberra, Henning Bernhard F, Uslucan Haci H, Westhoff Timm, Pagonas Nikolaos

机构信息

Medizinische Klinik I (Innere Medizin), Marienhospital Herne, Universitätsklinikum der Ruhr-Universität Bochum.

Stiftung Zentrum für Türkeistudien und Integrationsforschung, Institut an der Universität Duisburg-Essen.

出版信息

Dtsch Med Wochenschr. 2015 Jan;140(2):e14-20. doi: 10.1055/s-0041-100007. Epub 2015 Jan 22.

Abstract

BACKGROUND

Culturally adequate medical care is a goal in Germany, but quantitative data concerning inpatients is lacking.

METHODS

Inpatients of a German tertiary hospital: Turkish migrants (T) and Germans (G) were interviewed in their respective native language.

RESULTS

121 T and 121 G were interviewed. 97.5% of T were Muslims, 82.6% of G were Christians. 88.5% of T judged religion as "important" or "very important" (G: 35.8%). 50.8% of T saw their opportunity to pray in the hospital as "bad" or "very bad" (G: 0.9%). Keeping to Islamic dietary rules in the hospital was "difficult" or "very difficult" for 90% of T. For 79.0% of female T care by a same-sex staff was "important" or "very important" (female G: 36.3%, male T: 40.0%, male G: 7.7%). The presence of a same-sex person during examinations or treatments was "much" or "very much" appreciated by 69.7% of female T, if same-sex care was impossible (female G: 25.4%, male T: 28.9%, male G: 6.1%). A retrospective analysis revealed that 5.8% of all 8988 hospital admissions during the period of study recruitment were Turkish migrants.

CONCLUSION

To meet the needs of Turkish migrants German hospitals should improve the opportunity for Muslims to pray. Additionally, the cooperation with local imams should be sought. Precise descriptions of food ingredients or an adapted menu could help T to deal with Muslim dietary commandments. A culturally sensitive hospital should take into account that female as well as male T prefer to be cared of by same-sex physicians and nurses.

摘要

背景

提供符合文化背景的医疗服务是德国的一个目标,但缺乏关于住院患者的定量数据。

方法

对德国一家三级医院的住院患者进行调查:以土耳其移民(T)和德国人(G)各自的母语进行访谈。

结果

共访谈了121名土耳其移民和121名德国人。97.5%的土耳其移民是穆斯林,82.6%的德国人是基督教徒。88.5%的土耳其移民认为宗教“重要”或“非常重要”(德国人:35.8%)。50.8%的土耳其移民认为他们在医院祈祷的机会“差”或“非常差”(德国人:0.9%)。90%的土耳其移民认为在医院遵守伊斯兰饮食规定“困难”或“非常困难”。79.0%的土耳其女性认为由同性工作人员护理“重要”或“非常重要”(德国女性:36.3%,土耳其男性:40.0%,德国男性:7.7%)。如果无法提供同性护理,69.7%的土耳其女性非常感激在检查或治疗时有同性在场(德国女性:25.4%,土耳其男性:28.9%,德国男性:6.1%)。一项回顾性分析显示,在研究招募期间的8988例住院患者中,5.8%是土耳其移民。

结论

为满足土耳其移民的需求,德国医院应改善穆斯林祈祷的机会。此外,应寻求与当地伊玛目合作。对食品成分的精确描述或调整后的菜单有助于土耳其移民遵守穆斯林饮食戒律。一个对文化敏感的医院应该考虑到,土耳其男性和女性都更希望由同性医生和护士护理。

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