针对拉丁裔老年患者及其家庭开展符合其文化背景的慢性肾脏病教育的必要性。

IF 9.4 1区 医学 Q1 UROLOGY & NEPHROLOGY American Journal of Kidney Diseases Pub Date : 2024-08-09 DOI:10.1053/j.ajkd.2024.06.015
Thalia Porteny, Kristen Kennefick, Mary Lynch, Angie M Velasquez, Kelli Collins Damron, Sylvia Rosas, Jennifer Allen, Daniel E Weiner, Sean Kalloo, Katherine Rizzolo, Keren Ladin
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引用次数: 0

摘要

拉美裔老年人(65 岁以上)是美国老年人口中增长最快的少数群体,与非西班牙裔白人相比,他们承受着过重的肾衰竭负担,在肾脏护理方面也存在差异。尽管拉美裔患者有很大的需求,也面临着独特的障碍,但能满足拉美裔患者语言和文化需求的教育资源或辅助决策工具却寥寥无几。决策辅助工具的设计目的是增进知识,增强个人参与共同决策的能力,并已证明可提高决策质量和老年慢性肾脏病患者的目标一致性护理。在这篇评论中,我们探讨了患有慢性肾脏病的拉丁裔老年患者在必须做出透析启动决定时所面临的障碍。我们的结论是,有必要为年长的拉美裔 CKD 患者量身定制文化和谐的决策辅助工具,以克服获得护理的障碍,改善年长的拉美裔 CKD 患者以患者为中心的护理。
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The Need for Culturally Tailored CKD Education in Older Latino Patients and Their Families.

Older Latino adults (aged 65+years) comprise the fastest growing minoritized group among the older population in the United States and experience a disproportionate burden of kidney failure as well as disparities in kidney care compared with non-Hispanic White individuals. Despite significant need and barriers uniquely faced by this population, few educational resources or decision aids are available to meet the language and cultural needs of Latino patients. Decision aids are designed to improve knowledge and empower individuals to engage in shared decision making and have been shown to improve decisional quality and goal-concordant care among older patients with chronic kidney disease (CKD). In this commentary, we examine the barriers faced by older Latino people with CKD who must make dialysis initiation decisions. We conclude that there is a need for culturally concordant decision aids tailored for older Latino patients with CKD to overcome barriers in access to care and improve patient-centered care for older Latino CKD patients.

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来源期刊
American Journal of Kidney Diseases
American Journal of Kidney Diseases 医学-泌尿学与肾脏学
CiteScore
20.40
自引率
2.30%
发文量
732
审稿时长
3-8 weeks
期刊介绍: The American Journal of Kidney Diseases (AJKD), the National Kidney Foundation's official journal, is globally recognized for its leadership in clinical nephrology content. Monthly, AJKD publishes original investigations on kidney diseases, hypertension, dialysis therapies, and kidney transplantation. Rigorous peer-review, statistical scrutiny, and a structured format characterize the publication process. Each issue includes case reports unveiling new diseases and potential therapeutic strategies.
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