Wensing Michel, Wetzels Raymond, Hermsen Jan, Baker Richard
Centre for Quality of Care Research (WOK), Radboud University Nijmegen Medical Centre, The Netherlands.
Patient Educ Couns. 2007 Nov;68(3):265-9. doi: 10.1016/j.pec.2007.06.012. Epub 2007 Aug 7.
This study aimed to determine whether older patients' enablement was associated with their evaluation of the level of their involvement in primary care consultations.
Secondary analysis of data from an international cross-sectional study in seven European countries (n=625 patients). Patient enablement, preference for involvement in the consultation and evaluation of involvement in the consultation were measured with validated questionnaires. Random coefficient linear modelling was used to identify factors associated with patient enablement.
The overall mean patient enablement score was 5.5 (theoretical range: 0-12; higher score indicated more enablement). Enablement was higher in patients who reported more positive compared to those reporting less positive evaluations of involvement (B=1.660; p<0.001). The impact of evaluation on enablement was higher in patients with a high preference for involvement compared to those with lower preference for involvement (B=0.743; p=0.015).
Positive evaluations of involvement in primary care were associated with higher enablement in older patients, and even more if the patient had a high preference for involvement.
Involving older patients actively may enhance their enablement, a particularly important goal for patients who have one or more chronic conditions.
本研究旨在确定老年患者的赋能是否与其对初级保健咨询参与程度的评估相关。
对来自七个欧洲国家的一项国际横断面研究的数据进行二次分析（n = 625名患者）。使用经过验证的问卷测量患者赋能、参与咨询的偏好以及对咨询参与度的评估。采用随机系数线性模型来确定与患者赋能相关的因素。
患者赋能的总体平均得分为5.5（理论范围：0 - 12；得分越高表明赋能程度越高）。与对参与度评价较不积极的患者相比，对参与度评价更积极的患者赋能程度更高（B = 1.660；p < 0.001）。与参与偏好较低的患者相比，参与偏好较高的患者中，评估对赋能 的影响更大（B = 0.743；p = 0.015）。
对参与初级保健的积极评价与老年患者更高的赋能相关，对于那些对参与有较高偏好的患者而言更是如此。
积极让老年患者参与可能会增强他们的赋能，这对患有一种或多种慢性病的患者来说是一个特别重要的目标。
