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生育患者对提供心理信息有未满足的需求:一项横断面研究。

Fertility patients demonstrate an unmet need for the provision of psychological information: A cross sectional study.

机构信息

Department of Psychiatry, McGill University, Montreal, Canada.

Department of Obstetrics and Gynecology, McGill, Montreal, Canada.

出版信息

Patient Educ Couns. 2018 Oct;101(10):1852-1858. doi: 10.1016/j.pec.2018.06.013. Epub 2018 Jun 25.

Abstract

OBJECTIVES

To examine the provision of information by health care providers (HCPs) to fertility patients about accessing psychological resources.

METHODS

This study utilized data from a cross-sectional survey of 659 male and female patients seeking fertility treatment at clinics in Toronto and Montreal. Regression analyses were used to assess if sociodemographic and treatment variables were associated with the receipt of information, the desire for information, the helpfulness of the information, and the likelihood that participants had sought counselling.

RESULTS

The majority of respondents (79.8%) said that their HCP had not given them information about accessing psychological resources. Of the patients who did not receive this information, most (60%) said that they wanted it. Regression analysis revealed that immigrants, women, and patients with higher perceived stress scores were significantly more likely to desire this information. Furthermore, having received this information was associated with increased odds of counselling seeking (odds ratio = 3.31, p = 0.013).

CONCLUSION

Fertility patients demonstrated an unmet need for information about accessing psychological resources, and HCPs may play an integral role in bridging this information gap.

PRACTICE IMPLICATIONS

To improve the patient-centeredness of fertility care, HCPs should be proactive in informing all patients about how to access psychological resources.

摘要

目的

调查医疗保健提供者(HCPs)向生育患者提供获取心理资源信息的情况。

方法

本研究利用了在多伦多和蒙特利尔的诊所接受生育治疗的 659 名男性和女性患者的横断面调查数据。回归分析用于评估社会人口统计学和治疗变量是否与信息的获取、对信息的需求、信息的有用性以及参与者寻求咨询的可能性相关。

结果

大多数受访者(79.8%)表示,他们的 HCP 没有向他们提供有关获取心理资源的信息。在没有收到这些信息的患者中,大多数(60%)表示他们希望获得这些信息。回归分析显示,移民、女性和感知压力评分较高的患者更有可能需要这些信息。此外,收到这些信息与寻求咨询的几率增加有关(优势比=3.31,p=0.013)。

结论

生育患者对获取心理资源信息的需求未得到满足,HCPs 可能在弥合这一信息差距方面发挥重要作用。

实践意义

为了提高生育护理的以患者为中心的程度,HCPs 应主动向所有患者提供有关如何获取心理资源的信息。

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