Lessons learned from a social worker's approach to advance care planning discussions with Chinese-immigrant oncology outpatients.

IF 1.5 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2023-01-01 DOI:10.1080/07347332.2022.2103486

Mi Zhou, Toby Bressler, Alan Weinberg, Alison Snow

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引用次数: 1

Abstract

Purpose: To examine Chinese-immigrant cancer patients' openness to advance care planning (ACP) in an outpatient oncology setting.

Design: Retrospective review of social work assessment data.

Sample: 150 Chinese-immigrant patient charts were reviewed (55% Cantonese, 45% Mandarin).

Methods: Data were summarized descriptively and with logistic regression analyses.

Findings: Sixteen percent of patients had completed ACP prior to meeting with the oncology social worker (OSW). Twenty percent of patients agreed to complete a health care proxy (HCP) after receiving culturally-tailored education in their language of origin from the OSW, while 75% remained open to ongoing consideration of ACP and HCP completion.

Conclusions: This study illuminates how Chinese immigrants engage in ACP discussions in an oncology setting.

Implications for psychosocial provider: OSWs can play an integral role in advocating, educating, and intervening with this population and can assist the interdisciplinary team in understanding the importance of the cultural differences, even if the OSW's primary language differs from that of a patient's.

查看原文本刊更多论文

社工与中国移民肿瘤科门诊病人提前讨论护理计划的经验教训。

目的:调查中国移民癌症患者在门诊肿瘤环境中对预先护理计划(ACP)的开放程度。设计:回顾社会工作评估数据。样本:回顾了150名中国移民患者的病历(55%广东话，45%普通话)。方法:对资料进行描述性总结和逻辑回归分析。结果:16%的患者在与肿瘤社会工作者(OSW)会面之前完成了ACP。20%的患者同意在接受OSW以其原籍语言进行的文化定制教育后完成卫生保健代理(HCP)，而75%的患者仍对继续考虑完成ACP和HCP持开放态度。结论:本研究阐明了中国移民如何在肿瘤学背景下参与ACP讨论。对社会心理服务提供者的启示:OSW可以在倡导、教育和干预这一人群方面发挥不可或缺的作用，并且可以帮助跨学科团队理解文化差异的重要性，即使OSW的主要语言与患者的主要语言不同。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.