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伤口护理中的种族、民族和营养不良问题

Wound Care at the Intersection of Race, Ethnicity, and Malnutrition.

机构信息

Nancy Munoz, DCN, MHA, RDN, FAND, is Chief, Nutrition and Food Service, Southern Nevada VA Healthcare System, North Las Vegas, Nevada, United States. Mary Litchford, PhD, RDN, LDN, is President and Owner, Case Software, Greensboro, North Carolina, United States.

出版信息

Adv Skin Wound Care. 2024 Oct 1;37(10):536-543. doi: 10.1097/ASW.0000000000000211.

DOI:10.1097/ASW.0000000000000211
PMID:39481061
Abstract

Ensuring adequate nutrition is vital for maintaining skin health and promoting successful wound healing. Globally, the rise in malnutrition and diet-related diseases is contributing to increased rates of illness and disability. Populations in food deserts and those experiencing food insecurity are particularly at risk. Being at risk for or having malnutrition associated with chronic conditions such as diabetes and cardiovascular disease can increase the incidence of wounds. Healthcare disparities and varied clinical outcomes among ethnic minorities further contribute to these challenges. Research indicates that racial and ethnic minorities experience a higher prevalence and severity of wounds, including pressure injuries. Detecting early-stage wounds in individuals with darker skin tones can be difficult, adding to the disparities.Culturally appropriate nutrition interventions are essential in addressing these health inequities because tailored approaches tend to be more effective than uniform strategies. Understanding diverse dietary patterns and incorporating cultural food preferences into care plans can improve patient adherence and outcomes. Promoting equity in wound care through culturally sensitive practices helps to foster respect, dignity, and trust within healthcare settings, particularly for minority populations.In this review, the authors highlight the need for inclusive interventions that provide culturally aligned nutrition, supporting patients' clinical and holistic well-being.

摘要

确保充足的营养对于维持皮肤健康和促进伤口愈合至关重要。在全球范围内,营养不良和饮食相关疾病的增加导致发病率和残疾率上升。食物荒漠中的人群和那些面临粮食不安全的人群尤其面临风险。患有与糖尿病和心血管疾病等慢性疾病相关的营养不良或有营养不良风险会增加伤口的发生率。医疗保健方面的差异和少数民族之间不同的临床结果进一步加剧了这些挑战。研究表明,少数族裔人群的伤口发生率和严重程度更高,包括压疮。在肤色较深的个体中早期发现伤口可能较为困难,这进一步加剧了差异。针对这些健康不平等问题,进行文化适宜的营养干预至关重要,因为针对性的方法往往比统一的策略更有效。了解不同的饮食模式,并将文化上可接受的食物偏好纳入护理计划,可以提高患者的遵医行为和治疗效果。通过文化敏感性实践促进伤口护理中的公平性有助于在医疗保健环境中培养尊重、尊严和信任,特别是对于少数民族人群。在这篇综述中,作者强调需要采取包容性干预措施,提供文化上一致的营养支持,以满足患者的临床和整体健康需求。

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