少数民族和移民心脏病患者的患者教育：范围综述。

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2024-10-23 DOI:10.1016/j.pec.2024.108480

Ling Zhang , Gabriela Lima de Melo Ghisi , Wendan Shi , Maureen Pakosh , Emilia Main , Robyn Gallagher

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引用次数: 0

摘要

目的：描述针对少数民族/移民心脏病患者的文化和语言适当的教育干预措施的特点并总结其有效性：方法：检索了五个数据库（从期刊创刊到 2023 年 8 月），确定了专门为少数民族/移民背景的个人设计的教育干预的健康结果和患者体验方面的研究报告。这些结果包括疾病相关知识、自我护理行为、风险因素概况、入院情况和患者满意度：在 4772 条记录中，筛选出 39 篇全文手稿，最终纳入了 5 项研究。这些研究主要在美国和澳大利亚进行，共有 938 人参与。干预措施的实施方式、内容和目标患者群体各不相同。值得注意的是，针对语言和文化因素的干预措施显示出提高少数民族或移民患者的知识、自我护理行为和风险因素概况的潜力：尽管针对不同文化背景的教育干预显示出前景，但在报告和依从性方面仍存在差距。需要进一步开展研究，以评估这些干预措施的有效性并制定实施框架：实践意义：医疗保健提供者应优先考虑在心脏康复中采取有文化针对性的干预措施，以减少少数民族/移民之间的健康结果差异。此外，还应将资源分配用于制定有针对性的计划，以满足这些群体的独特需求。

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Patient education in ethnic minority and migrant patients with heart disease: A scoping review

Objective

to describe the characteristics and synthesise the effectiveness of culturally and linguistically appropriate educational interventions for ethnic minority/migrant patients with heart disease.

Methods

Five databases were searched (journal inception to August/2023), identifying studies reported on health outcomes and patients’ experience of educational interventions specifically designed for individuals from ethnic minority/migrant backgrounds. These outcomes included disease-related knowledge, self-care behaviours, risk factor profiles, hospital admissions, and patient satisfaction.

Results

Out of 4772 records, 39 full-text manuscripts were screened, resulting in inclusion of five studies. These studies, primarily conducted in the USA and Australia, included a total of 938 participants. The interventions varied in delivery mode, content, and target patient groups. Notably, interventions addressing linguistic and cultural considerations showed potential for enhancing knowledge, self-care behaviours, and risk factor profiles among ethnic minority or migrant patients.

Conclusions

Although culturally tailored educational interventions show promise, gaps in reporting and adherence persist. Further research is needed to evaluate effectiveness of these interventions and develop implementation frameworks.

Practice Implications

Healthcare providers should prioritize culturally tailored interventions in cardiac rehabilitation, aiming to reduce health outcome disparities among ethnic minorities/migrants. Additionally, resources should be allocated towards the development of tailored programs that address the unique needs of these communities.

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.