Taylor Cortney J, La Greca Annette, Valenzuela Jessica M, Hsin Olivia, Delamater Alan M
Department of Pediatrics, Psychology Section, Baylor College of Medicine/Texas Children's Hospital, 1102 Bates Ave., Ste. 245, Houston, TX, 77030, USA.
Department of Psychology, University of Miami, Coral Gables, FL, 33146, USA.
J Clin Psychol Med Settings. 2016 Sep;23(3):257-68. doi: 10.1007/s10880-016-9460-0.
To assess whether satisfaction with the health-care provider is related to regimen adherence among primarily minority youth with type 1 diabetes. Youth with type 1 diabetes (n = 169; M age = 13.88; 52 % female; 70 % Hispanic) and their parents completed questionnaires that assessed their own satisfaction with the health-care provider and youths' adherence to diabetes self-care behaviors. Higher youth and parent patient-provider relationship satisfaction was associated with higher regimen adherence. Gender affected the relationship between satisfaction and regimen adherence, such that for girls, greater satisfaction was associated with better adherence; this was not the case for boys. Patient satisfaction with the health care provider is important for regimen adherence among primarily minority youth with type 1 diabetes, particularly for girls. Future research might focus on improving youths' relationships with their health care providers as a potential pathway to improve regimen adherence.
评估在以少数族裔为主的1型糖尿病青少年中，对医疗服务提供者的满意度是否与治疗方案依从性相关。1型糖尿病青少年（n = 169；平均年龄 = 13.88岁；52%为女性；70%为西班牙裔）及其父母完成了问卷调查，评估他们自己对医疗服务提供者的满意度以及青少年对糖尿病自我护理行为的依从性。青少年和父母对医患关系的满意度越高，治疗方案依从性越高。性别影响满意度与治疗方案依从性之间的关系，对于女孩来说，更高的满意度与更好的依从性相关；男孩则不然。对医疗服务提供者的患者满意度对于以少数族裔为主的1型糖尿病青少年的治疗方案依从性很重要，尤其是对女孩。未来的研究可能会聚焦于改善青少年与医疗服务提供者之间的关系，将其作为提高治疗方案依从性的潜在途径。
