2型糖尿病患者护理评估中的性别差异：一项横断面研究（ZODIAC-52）

Gender differences in the evaluation of care for patients with type 2 diabetes: a cross-sectional study (ZODIAC-52).

作者信息

Hendriks Steven H, Blanker Marco H, Roelofsen Yvonne, van Hateren Kornelis J J, Groenier Klaas H, Bilo Henk J G, Kleefstra Nanne

机构信息

Diabetes Centre, Isala, Zwolle, the Netherlands.

Department of General Practice, University of Groningen and University Medical Center Groningen, Groningen, the Netherlands.

出版信息

BMC Health Serv Res. 2018 Apr 10;18(1):266. doi: 10.1186/s12913-018-3086-x.

DOI:10.1186/s12913-018-3086-x

PMID:29636042

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5891915/

Abstract

BACKGROUND

Little is known about the association between patient-related factors and patients' evaluation of care. Aim was to investigate which patient-related factors are associated with patients' evaluation of care in men and women with type 2 diabetes (T2D) in primary care.

METHODS

This cross-sectional study included 1102 patients with T2D from 52 general practices. We measured patients' evaluation with the EUROPEP questionnaire and collected demographic, clinical and psychological data from questionnaires and health records. Stepwise linear regression analyses were used.

RESULTS

The location where the questionnaire was completed (at home or at the general practice) was associated with all outcomes in men and women. Next to this, in men, explanatory factors for the care provider EUROPEP subscale were use of insulin, having some problems with T2D self-care and coffee consumption (R 8.4%); coffee consumption was associated with the general practice subscale (R 4.0%). In women, well-being, quality of life, following a general diet, and use of oral glucose-lowering drugs were associated with the care provider subscale (R 16.8%). For the general practice subscale, well-being and age were explanatory factors (R 9.4%).

CONCLUSIONS

Only a few factors were found to be associated with patients' evaluation of care for men and women with T2D. Taken together, these factors explained only a small part of the variance of the EUROPEP scores. This explained variance was largely attributable to the location where the questionnaire was completed. We therefore advise to be aware of the possible consequences of filing-out questionnaires about patients' evaluation of care at the general practice.

TRIAL REGISTRATION

NCT01570140 (Clinicaltrials.gov). Registered 29 March 2012.

摘要

背景

关于患者相关因素与患者护理评价之间的关联，我们所知甚少。本研究旨在调查在基层医疗中，2型糖尿病（T2D）男性和女性患者中，哪些患者相关因素与患者的护理评价相关。

方法

这项横断面研究纳入了来自52家普通诊所的1102例T2D患者。我们使用欧洲患者满意度调查问卷（EUROPEP）来测量患者的评价，并通过问卷和健康记录收集人口统计学、临床和心理数据。采用逐步线性回归分析。

结果

问卷填写地点（在家或在普通诊所）与男性和女性的所有结果均相关。除此之外，在男性中，护理提供者EUROPEP子量表的解释因素包括胰岛素使用、T2D自我护理存在一些问题以及咖啡摄入量（R 8.4%）；咖啡摄入量与普通诊所子量表相关（R 4.0%）。在女性中，幸福感、生活质量、遵循常规饮食以及口服降糖药的使用与护理提供者子量表相关（R 16.8%）。对于普通诊所子量表，幸福感和年龄是解释因素（R 9.4%）。