Mayan M, Robinson T, Gokiert R, Tremblay M, Abonyi S, Long R
Community-University Partnership for the Study of Children, Youth and Families, Faculty of Extension, University of Alberta, Edmonton, Alberta, Canada.
Department of Community Health & Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
Public Health Action. 2017 Dec 21;7(4):275-281. doi: 10.5588/pha.17.0055.
The Prairie provinces of Canada. To understand how Indigenous peoples with infectious pulmonary tuberculosis living in different community settings in the Prairie provinces of Canada experience respiratory isolation. Using an exploratory qualitative approach, we interviewed participants living in urban centres, non-remote reserve settings and remote and isolated reserve settings. Through qualitative content analysis of 48 interviews, we determined that participants experienced feelings of confinement regardless of the community setting in which they lived. Participants also experienced family and social disconnect, but the experience was more potent for the remote and isolated reserve participants, who were required to be flown out of their home communities to receive treatment, and for those urban centre and non-remote reserve participants who lacked social connections. The roles of past experiences with sanitoria and of family in providing social support are discussed. The conclusions of this study focus on examining isolation policies and improving the hospital isolation experience.
加拿大草原三省。为了解生活在加拿大草原三省不同社区环境中的感染性肺结核原住民如何经历呼吸道隔离。我们采用探索性定性研究方法，采访了居住在城市中心、非偏远保留地以及偏远孤立保留地的参与者。通过对48次访谈进行定性内容分析，我们确定，无论居住在何种社区环境中，参与者都有被限制的感觉。参与者还经历了家庭和社会关系的脱节，但对于那些需要乘飞机离开家乡社区接受治疗的偏远孤立保留地参与者，以及那些缺乏社会联系的城市中心和非偏远保留地参与者来说，这种经历更为强烈。文中讨论了疗养院的过往经历以及家庭在提供社会支持方面的作用。本研究的结论集中在审视隔离政策并改善医院隔离体验。
