Falayi E O, Adeoye I A, Adedokun B O, Fasanmade A A
Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan. Ibadan, Nigeria.
Department of Physiology, College of Medicine, University of Ibadan. Ibadan, Nigeria.
Arch Basic Appl Med. 2018 Feb;6(1):119-125.
Diabetes Mellitus (DM) is one of the diseases of public health concerns of the 21st century with rising burden in developing countries. The evaluation of care for diabetes from patients' perspective an important indicator of measuring quality of health services and improving treatment approaches but data of the nature are scarce in Nigeria. The study therefore investigated Patients' Evaluation of the Quality of Diabetes care (PEQD) in Ibadan. This descriptive cross-sectional study recruited 384 diabetic patients from three hospitals where specialised services are offered in Ibadan. A semi-structured pre-tested questionnaire was used to collect data. A 42-point PEQD questionnaire scale was used to collect data and a score of >21 was rated as good Perceived Quality of Care (PQC). Data were analysed using descriptive statistics, chi-square test and logistic regression set at 5% level of statistical significance. Mean age of respondents was 62.5 + 10.8 years and mean diabetes duration was 8.4 + 7.6. Majority (58.3%) of the respondents didn't know the type of diabetes they had. Patients aged less than 60 years were less likely to PQC received as good (OR: 0.21; CI: 0.05 - 0.91) compared to those who were above 60 years. More than half (55.0%) of the respondents perceive quality of care as good. Patients' assessment of the quality of diabetes care received was perceived good. There is need to sustain current satisfactory services in diabetic care and institutionalize periodic survey patients' satisfaction to provide feedback for future quality improvement.
糖尿病(DM)是21世纪公共卫生关注的疾病之一,在发展中国家的负担日益加重。从患者角度评估糖尿病护理是衡量卫生服务质量和改进治疗方法的重要指标,但尼日利亚这类性质的数据稀缺。因此,该研究调查了伊巴丹患者对糖尿病护理质量的评估(PEQD)。这项描述性横断面研究从伊巴丹提供专科服务的三家医院招募了384名糖尿病患者。使用经过预测试的半结构化问卷收集数据。采用42分的PEQD问卷量表收集数据,得分>21被评为良好的感知护理质量(PQC)。使用描述性统计、卡方检验和设定为5%统计学显著性水平的逻辑回归分析数据。受访者的平均年龄为62.5±10.8岁,平均糖尿病病程为8.4±7.6年。大多数(58.3%)受访者不知道自己患的糖尿病类型。与60岁以上的受访者相比,年龄小于60岁的受访者获得良好PQC的可能性较小(OR:0.21;CI:0.05 - 0.91)。超过一半(55.0%)的受访者认为护理质量良好。患者对所接受的糖尿病护理质量的评估被认为是良好的。需要维持目前糖尿病护理方面令人满意的服务,并将定期调查患者满意度制度化,以便为未来的质量改进提供反馈。