Colucciello M L, Woelfel V
University of Wisconsin Oshkosh, USA.
Nursingconnections. 1998 Fall;11(3):33-40.
Even though Hispanics are the fastest growing minority in the United States, they face difficulties in accessing the health care system because of perceived health care needs, culture, income, language and lack of health insurance benefits. As a result, children of Hispanic parents suffering from such ailments as viral and bacterial infections, upper respiratory infections and gastroenteritis may not be treated at all or may be treated in the home. It is unclear as to how much a role traditional, cultural practices continue to play in their health care and how long medical treatment may be delayed. The purposes of this exploratory pilot study were to examine the types of cultural health care provided by Mexican-American mothers to their ill children at home, the extent of the child's illness and the time frame involved that determined the mother's need to seek medical attention. The mothers' use of lay healers and/or folk remedies prior to seeking medical attention for their child was also investigated. Implications and recommendations for culturally-relevant and culturally-competent care, and sensitive health education are presented.
尽管西班牙裔是美国增长最快的少数族裔，但由于可感知的医疗需求、文化、收入、语言以及缺乏医疗保险福利，他们在获取医疗保健系统方面面临困难。因此，患有病毒和细菌感染、上呼吸道感染及肠胃炎等疾病的西班牙裔父母的孩子可能根本得不到治疗，或者只能在家中接受治疗。目前尚不清楚传统的文化习俗在他们的医疗保健中持续发挥多大作用，以及医疗治疗可能会延迟多长时间。这项探索性试点研究的目的是调查墨西哥裔美国母亲在家中为患病孩子提供的文化医疗保健类型、孩子的病情严重程度以及决定母亲寻求医疗护理需求的时间框架。还调查了母亲们在为孩子寻求医疗护理之前使用非专业治疗师和/或民间疗法的情况。本文还提出了有关文化相关和文化胜任护理以及敏感健康教育的意义和建议。
