Kant Ravi, Yadav Poonam, Kishore Surekha, Kumar Rajesh, Kataria Neetu
Division of Diabetes and Metabolism, General Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Centre of Excellence in Nursing Education and Research, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
J Family Med Prim Care. 2020 May 31;9(5):2480-2486. doi: 10.4103/jfmpc.jfmpc_362_20. eCollection 2020 May.
Patient-centered care refers to the provision of care for patients' comprehensive needs, perspectives, and preferences. In health security, communication between patient and physician is the main key through which we plan and implement to threats that can affect huge population.
The aim of this study was to assess the patient-centered care in medical disinformation era among patients attending tertiary care teaching hospital, Rishikesh.
A descriptive cross-sectional study was planned by enrolling 240 patients attending tertiary care teaching hospital. Total consecutive sampling technique was chosen to recruit the patients for the study.
Tools used were case reporting form and components of primary care index (CPCI).
The results show statistically significant association between chronic history of illness of patient ( = 0.02), education of patient ( = 0.008), and habitat of patient ( = 0.05) with interpersonal communication between patient and physician, and the results also show statistically significant association between accumulated knowledge ( = 0.000), coordination of care ( = 0.001), continuity belief ( = 0.000), comprehensiveness of care ( = 0.001), and first contact ( = 0.001) with interpersonal communication between patient and physician. The lowest mean percentage of patient-centered care score was observed for accumulated knowledge (65.70%) and the highest mean percentage (85.15%) score of patient-centered care was observed for interpersonal communication.
This study concluded that patient-centered care improves interpersonal communication between patient and physician. Threats arising due to present medical disinformation era can be combat by patient-centered care.
以患者为中心的护理是指针对患者的全面需求、观点和偏好提供护理。在卫生安全方面，患者与医生之间的沟通是我们规划和应对可能影响大量人群的威胁的关键。
本研究旨在评估瑞诗凯诗三级护理教学医院的患者在医疗虚假信息时代以患者为中心的护理情况。
计划开展一项描述性横断面研究，纳入240名在三级护理教学医院就诊的患者。采用完全连续抽样技术招募研究对象。
使用的工具为病例报告表和初级护理指数（CPCI）的组成部分。
结果显示，患者的慢性病病史（P = 0.02）、患者教育程度（P = 0.008）和患者居住地（P = 0.05）与患者和医生之间的人际沟通存在统计学显著关联，并且结果还显示，累积知识（P = 0.000）、护理协调（P = 0.001）、连续性信念（P = 0.000）、护理全面性（P = 0.001）和首次接触（P = 0.001）与患者和医生之间的人际沟通存在统计学显著关联。以患者为中心的护理得分的最低平均百分比出现在累积知识方面（65.70%），而以患者为中心的护理得分的最高平均百分比（85.15%）出现在人际沟通方面。
本研究得出结论，以患者为中心的护理可改善患者与医生之间的人际沟通。当前医疗虚假信息时代产生的威胁可以通过以患者为中心的护理来应对。
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