Al-Khowaiter Saad S, Al-Maawi Abdulaziz M, Al-Obaidy Mamdoh S, Al-Ali Abdulaziz S, Al-Rukban Mohammed O, Al-Sedrani Yasser A, Abdo Ayman A
Department of Internal Medicine, University of British Colombia, Canada.
Saudi Med J. 2008 Dec;29(12):1797-801.
To assess the patients awareness of their medical conditions, identify the factors affecting their awareness, and assess patient's satisfaction with their doctors explanations of medical conditions.
A cross-sectional study was conducted in October 2005 in the outpatient clinics of King Khalid University Hospital in Riyadh, Kingdom of Saudi Arabia. A self-administered questionnaire was used for data collection. The statistical package for Social Science was used for analysis.
Five hundred and one patients were included in the study. The mean age was 45.6 +/- 16.8. Fifty-five percent were female and 29% were highly educated. Most of the patients (64.1%) knew their diagnoses. This was significantly associated with the educational level; chronicity of the disease, and the awareness of other issues related to their illness such as complications and name of their medications (p<0.05). Few patients (20%) knew complications of their diseases. Seventy percent of patients were satisfied with their doctors' explanation of their disease. Knowing the diagnosis (p=0.001) and the disease complications (p=0.014) were associated significantly with patients' satisfaction.
These figures are less than what they should be. Physicians must be advised of the importance of proper patient education. In addition, the lack of proper education by physicians demonstrated in this study should be compensated for by an increase in non-physician based education tools.
评估患者对自身病情的知晓程度,确定影响其知晓程度的因素,并评估患者对医生病情解释的满意度。
2005年10月在沙特阿拉伯王国利雅得市哈立德国王大学医院门诊部进行了一项横断面研究。采用自填式问卷收集数据。使用社会科学统计软件包进行分析。
501名患者纳入研究。平均年龄为45.6±16.8岁。55%为女性,29%受教育程度高。大多数患者(64.1%)知道自己的诊断。这与教育水平、疾病的慢性程度以及对与疾病相关的其他问题(如并发症和药物名称)的知晓程度显著相关(p<0.05)。很少有患者(20%)知道自己疾病的并发症。70%的患者对医生对其疾病的解释感到满意。知晓诊断(p=0.001)和疾病并发症(p=0.014)与患者满意度显著相关。
这些数据低于应有的水平。必须告知医生患者适当教育的重要性。此外,本研究中医生缺乏适当教育的情况应通过增加非医生主导的教育工具来弥补。