Institute of Social and Preventive Medicine, Centre Hospitalier Vaudois and University of Lausanne, Switzerland.
Int J Qual Health Care. 2010 Apr;22(2):140-4. doi: 10.1093/intqhc/mzq005. Epub 2010 Feb 9.
To explore the association between patients' body mass index (BMI) and their experiences with inpatient care.
Cross-sectional. Mail survey.
University Hospital of Geneva.
Questionnaires were mailed to 2385 eligible adult patients, 6 weeks after discharge (response rate = 69%).
Patients' experiences with care were measured using the Picker inpatient survey questionnaire. BMI was calculated using self-reported height and weight. Main dependent variables were the global Picker patient experience (PPE-15) score and nine dimension-specific problem scores, scored from 0 (no reported problems) to 1 (all items coded as problems). We used linear regressions, adjusting for age, gender, education, subjective health, smoking and hospitalization, to assess the association between patients' BMI and their experiences with inpatient care.
Of the patients, 4.8% were underweight, 50.8% had normal weight, 30.3% were overweight and 14.1% were obese. Adjusted analysis shows that compared with normal weight, obesity was significantly associated with fewer problematic items in the surgery-related information domain, and being underweight or overweight was associated with more problematic items in the involvement of family/friends domain. The global PPE-15 score was significantly higher (more problems) for underweight patients.
Underweight patients, but not obese patients, reported more problems during hospitalization.
探讨患者体重指数（BMI）与住院体验之间的关系。
横断面。邮件调查。
日内瓦大学附属医院。
向 2385 名符合条件的成年出院患者邮寄问卷，在出院后 6 周（应答率=69%）进行回复。
使用 Picker 住院患者调查问卷测量患者的护理体验。BMI 通过自我报告的身高和体重计算。主要因变量为总体 Picker 患者体验（PPE-15）评分和九个维度特定的问题评分，从 0（无报告问题）到 1（所有项目均编码为问题）。我们使用线性回归，调整年龄、性别、教育程度、主观健康状况、吸烟状况和住院情况，以评估患者 BMI 与其住院护理体验之间的关系。
患者中，4.8%体重不足，50.8%体重正常，30.3%超重，14.1%肥胖。调整分析表明，与体重正常者相比，肥胖者在手术相关信息领域的问题项目明显较少，而体重不足或超重者在家庭/朋友参与领域的问题项目较多。体重不足患者的总体 PPE-15 评分明显较高（问题较多）。
体重不足的患者，而不是肥胖患者，在住院期间报告了更多的问题。
