Cinar Ayse Basak, Schou Lone
Institute of Odontology, University of Copenhagen, Section 1, Norre Alle 20, 2200 Copenhagen, Denmark.
Department of Global Oral Public Health, Institute of Odontology, University of Copenhagen, 2200 Copenhagen, Denmark.
ScientificWorldJournal. 2014;2014:372671. doi: 10.1155/2014/372671. Epub 2014 Dec 28.
The present study aims to assess how patient satisfaction with medical provider-patient communication can affect oral health, diabetes, and psychobehavioural measures among type 2 diabetes (T2DM) patients. It is part of a prospective intervention study among randomly selected T2DM patients, in Turkey. The data analyzed were Community Periodontal Need Index (CPI), HbA1c, patient satisfaction with communication, and psychobehavioural variables. Data was collected initially and at the end of the intervention. The participants were allocated to either health coaching (HC) or health education (HE). At baseline, there were no statistical differences between the HC and the HE groups on any of the measures (P > 0.05). Patients in both the HC and the HE groups had low satisfaction with communication. At postintervention, the increase in patient satisfaction with communication in the HC group was significantly higher than that in the HE group (P = 0.001). Principal component analysis revealed that patient satisfaction with communication shared the same cluster with clinical measures (CPI and HbA1c) and quality of life in the HC group. In conclusion, the present study showed, to our knowledge for the first time, that overall patient satisfaction with medical care provider-patient communication, empowered by HC approach, was interrelated with well-being of T2DM patients, in terms of psychobehavioural and clinical measures.
本研究旨在评估2型糖尿病（T2DM）患者对医患沟通的满意度如何影响其口腔健康、糖尿病及心理行为指标。该研究是土耳其一项针对随机选取的T2DM患者开展的前瞻性干预研究的一部分。所分析的数据包括社区牙周需求指数（CPI）、糖化血红蛋白（HbA1c）、患者对沟通的满意度以及心理行为变量。数据在干预开始时及结束时收集。参与者被分配至健康指导（HC）组或健康教育（HE）组。在基线时，HC组和HE组在任何一项指标上均无统计学差异（P>0.05）。HC组和HE组患者对沟通的满意度均较低。干预后，HC组患者对沟通的满意度增幅显著高于HE组（P=0.001）。主成分分析显示，在HC组中，患者对沟通的满意度与临床指标（CPI和HbA1c）及生活质量归为同一类。总之，据我们所知，本研究首次表明，通过HC方法增强的患者对医疗服务提供者与患者沟通的总体满意度，在心理行为和临床指标方面与T2DM患者的健康状况相关。
