Heatley Michelle L, Watson Bernadette, Gallois Cindy, Miller Yvette D
a School of Psychology and The Queensland Centre for Mothers and Babies , The University of Queensland , St Lucia , Queensland , Australia.
J Health Commun. 2015;20(7):827-34. doi: 10.1080/10810730.2015.1018587. Epub 2015 May 28.
In this study, 3,531 Queensland women, who had recently given birth, completed a questionnaire that included questions about their participation in decision making during pregnancy, their ratings of client-centered care, and perceived quality of care. These data tested a version of the Linguistic Model of Patient Participation in Care, adapted to the maternity context. The authors investigated how age and education influenced women's perceptions of their participation and quality of care. Hierarchical multiple regressions revealed that women's perceived ability to make decisions, and the extent of client-centered communication with maternity care providers, were the most influential predictors of participation and perceived quality of care. Participation in care predicted perceived quality of care, but the influence of client-centered communication by a care provider and a woman's confidence in decision making were stronger predictors of perceived quality of care. Age and education level were not important predictors. These findings extend and support the use of Linguistic Model of Patient Participation in Care in the maternity context.
在本研究中，3531名昆士兰近期分娩的女性完成了一份问卷，其中包括关于她们在孕期参与决策的情况、对以客户为中心护理的评分以及对护理质量的感知等问题。这些数据对适用于产科环境的患者参与护理语言模型的一个版本进行了测试。作者调查了年龄和教育程度如何影响女性对其参与度和护理质量的认知。分层多元回归显示，女性感知到的决策能力以及与产科护理提供者以客户为中心的沟通程度，是参与度和感知护理质量最具影响力的预测因素。参与护理可预测感知护理质量，但护理提供者以客户为中心的沟通以及女性的决策信心对感知护理质量的预测作用更强。年龄和教育水平并非重要的预测因素。这些发现扩展并支持了患者参与护理语言模型在产科环境中的应用。
