Exploring Aboriginal patients' experiences of cardiac care at a major metropolitan hospital in Melbourne.
Exploring Aboriginal patients' experiences of cardiac care at a major metropolitan hospital in Melbourne.
复制标题
探索墨尔本一家大型大医院的原住民患者的心脏护理经历。
DOI：
10.1071/ah15175
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发表时间：
2016
影响因子：
1.8
通讯作者：
K. Arabena
中科院分区：
文献类型：
--
作者：
L. Worrall‐Carter;Karen Daws;M. Rahman;S. Maclean;K. Rowley;Shawana Andrews;A. Macisaac;P. Lau;S. McEvedy;J. Willis;K. Arabena
目的本研究的目的是探讨土著病人的生活经验心脏护理在主要的大都市医院在墨尔本。方法采用定性研究方法，对2012- 2013年在研究医院心脏科就诊的10例原住民患者进行深度访谈。采用现象学方法分析数据。从数据中出现了八个主题，每个主题都涉及参与者经历的各个方面：“不喜欢医院”、“系统失败”、“与医院工作人员的接触”、“种族主义经历”、“健康素养和信息需求”、“自我认同为土著”、“家庭参与护理”和“回家和适应困难”。大多数参与者都有积极的心脏护理经验，但住院治疗往往是具有挑战性的，因为感觉脱位和迷失方向。与工作人员的积极接触在很大程度上缓解了住院压力，但有时因系统故障或负面经历而加剧。结论对背井离乡的土著居民来说，心脏危机是一种压力，住院期间尤其令人困惑。关于这个话题我们知道些什么？与其他澳大利亚人相比，土著人患心血管疾病的死亡率更高。除了造成预期寿命差距的不同因素外，原住民在使用医疗保健系统方面也面临重大障碍。这篇文章补充了什么？本研究探讨澳洲原住民病患在墨尔本某大型都市医院接受心脏照护的生活经验。在他们与医院工作人员和医院系统的互动中，以及他们对病人护理的文化方面，揭示了不同的问题。这对从业者意味着什么？与工作人员的积极互动，家庭和社区的持续支持，文化上适当的心脏康复计划可以改善土著患者的心脏护理体验。
Objectives The aim of the present study was to explore Aboriginal patients' lived experiences of cardiac care at a major metropolitan hospital in Melbourne. Methods The study was a qualitative study involving in-depth interviews with a purposive sample of 10 Aboriginal patients who had been treated in the cardiology unit at the study hospital during 2012-13. A phenomenological approach was used to analyse the data. Results Eight themes emerged from the data, each concerning various aspects of participants' experiences: 'dislike of hospitals', 'system failures', 'engagement with hospital staff', 'experiences of racism', 'health literacy and information needs', 'self-identifying as Aboriginal', 'family involvement in care' and 'going home and difficulties adapting'. Most participants had positive experiences of the cardiac care, but hospitalisation was often challenging because of a sense of dislocation and disorientation. The stress of hospitalisation was greatly mediated by positive engagements with staff, but at times exacerbated by system failures or negative experiences. Conclusion Cardiac crises are stressful and hospital stays were particularly disorienting for Aboriginal people dislocated from their home land and community. What is known about the topic? Aboriginal people have higher mortality rates due to cardiovascular diseases compared with other Australians. Along with different factors contributing to the life expectancy gap, Aboriginal people also face significant barriers in the use of the healthcare system. What does this paper add? Aboriginal patients' lived experience of cardiac care at a major metropolitan hospital in Melbourne is explored in this paper. Different issues were revealed during their interaction with the hospital staff and the hospital system in conjunction with their cultural aspect of patient care. What are the implications for practitioners? Positive interactions with staff, ongoing support from family and community, culturally appropriate cardiac rehabilitation programs can improve the cardiac care experiences of Aboriginal patients.