患者对以患者为中心的护理的认知：理论模型的实证检验
Patient perceptions of patient-centred care: empirical test of a theoretical model.
作者信息
Rathert Cheryl, Williams Eric S, McCaughey Deirdre, Ishqaidef Ghadir
机构信息
Health Services Management, School of Medicine, University of Missouri, Columbia, MO, USA.
出版信息
Health Expect. 2015 Apr;18(2):199-209. doi: 10.1111/hex.12020. Epub 2012 Nov 26.
AIM
Patient perception measures are gaining increasing interest among scholars and practitioners. The aim of this study was to empirically examine a conceptual model of patient-centred care using patient perception survey data.
BACKGROUND
Patient-centred care is one of the Institute of Medicine's objectives for improving health care in the 21st century. Patient interviews conducted by the Picker Institute/Commonwealth Fund in the 1980s resulted in a theoretical model and survey questions with dimensions and attributes patients defined as patient-centered.
METHOD
The present study used survey data from patients with overnight visits at 142 U.S. hospitals.
RESULTS
Regression analysis found significant support for the theoretical model. Perceptions of emotional support had the strongest relationship with overall care ratings. Coordination of care, and physical comfort were strongly related as well.
CONCLUSION
Understanding how patients experience their care can help improve understanding of what patients believe is patient-centred, and of how care processes relate to important patient outcomes.
目的
患者感知测量在学者和从业者中越来越受到关注。本研究的目的是使用患者感知调查数据对以患者为中心的护理概念模型进行实证检验。
背景
以患者为中心的护理是医学研究所提出的21世纪改善医疗保健的目标之一。20世纪80年代，皮克研究所/联邦基金进行的患者访谈产生了一个理论模型以及一些调查问题，这些问题涉及患者定义为以患者为中心的维度和属性。
方法
本研究使用了来自美国142家医院过夜就诊患者的调查数据。
结果
回归分析为该理论模型提供了有力支持。情感支持感知与总体护理评分的关系最为密切。护理协调和身体舒适度也密切相关。
结论
了解患者如何体验他们所接受的护理有助于增进对患者认为何为以患者为中心的理解，以及护理过程与重要患者结局之间关系的理解。
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