西班牙裔儿童的临终关怀：加利福尼亚医疗补助受益人的一项研究。
End-of-Life Care for Hispanic Children: A Study of California Medicaid Beneficiaries.
作者信息
Lindley Lisa C, Trujillo Laura V
机构信息
University of Tennessee, Knoxville, TN, USA
University of Tennessee, Knoxville, TN, USA.
出版信息
Hisp Health Care Int. 2016 Dec;14(4):164-169. doi: 10.1177/1540415316670900. Epub 2016 Sep 20.
INTRODUCTION
More than 8,000 Hispanic children die annually in the United States; yet little is known about the end-of-life care utilized. The purpose of this study was to examine the children and family characteristics associated with end-of-life care for Hispanic children.
METHOD
A sample of 370 Hispanic children was created, using the 2009-2010 California Medicaid data. The relationship between child and family characteristics and end-of-life care utilization (i.e., hospice enrollment, emergency room utilization, hospital admissions) was analyzed using multivariate regression.
RESULTS
Pediatric hospice accessibility (p < .05), palliative care policy (p < .01), congenital anomalies (p < .01), and cardiovascular conditions (p < .01) were related to hospice enrollment. Usual source of care (p < .001), functional status (p < .001), palliative care policy (p < .01), and private insurance (p < .01) were associated with emergency room utilization, while usual source of care (p < .001), cancer (p < .001), and disability status (p < .01) corresponded with hospital admissions.
CONCLUSION
Nursing practices aimed at engaging Hispanic families in their community are critical to end-of-life care utilization for Hispanic children.
引言
在美国，每年有超过8000名西班牙裔儿童死亡；然而，对于他们所接受的临终关怀却知之甚少。本研究的目的是调查与西班牙裔儿童临终关怀相关的儿童及家庭特征。
方法
利用2009 - 2010年加利福尼亚医疗补助数据，选取了370名西班牙裔儿童作为样本。采用多元回归分析儿童及家庭特征与临终关怀利用情况（即临终关怀登记、急诊室利用、住院情况）之间的关系。
结果
儿童临终关怀可及性（p <.05）、姑息治疗政策（p <.01）、先天性异常（p <.01）和心血管疾病（p <.01）与临终关怀登记有关。常规护理来源（p <.001）、功能状态（p <.001）、姑息治疗政策（p <.01）和私人保险（p <.01）与急诊室利用有关，而常规护理来源（p <.001）、癌症（p <.001）和残疾状况（p <.01）与住院情况相关。
结论
旨在让西班牙裔家庭融入其社区的护理实践对于西班牙裔儿童的临终关怀利用至关重要。
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