Department of Medicine, Division of General Internal Medicine and Geriatrics, Medical University of South Carolina, Charleston, South Carolina.
Department of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Diabetes Educ. 2020 Aug;46(4):370-377. doi: 10.1177/0145721720922953.
The purpose of the study was to examine the associations between patient dissatisfaction and diabetes outcomes among patients with type 2 diabetes.
Primary data from 615 adults with type 2 diabetes from 2 adult primary care clinics completed validated questionnaires. Patient dissatisfaction was measured by asking participants to what degree over the past 12 months were they very dissatisfied with the care they received from their primary care provider. Diabetes outcomes included self-care behaviors, quality of life, and A1C. A1C was abstracted from the medical record. Multiple linear regression models were used to assess associations between patient dissatisfaction, self-care, blood glucose, and quality of life.
After adjusting for covariates, this study demonstrated that higher patient dissatisfaction was significantly associated with poor general diet, worse blood glucose levels, and lower mental component score for quality of life.
In patients with type 2 diabetes, patient dissatisfaction had a significant association with higher blood glucose levels, poor general diet, and low quality of life. Demographic factors driving patient dissatisfaction included young age, low income, and low health literacy. Future studies should investigate how to address patient satisfaction in an effort to improve health outcomes.
本研究旨在探讨 2 型糖尿病患者的患者不满与糖尿病结局之间的关联。
来自 2 个成人初级保健诊所的 615 名 2 型糖尿病成年人的原始数据完成了经过验证的问卷。通过询问参与者在过去 12 个月中对他们从初级保健提供者那里获得的护理有多不满意来衡量患者的不满程度。糖尿病结局包括自我护理行为、生活质量和 A1C。A1C 从病历中提取。使用多元线性回归模型评估患者不满、自我护理、血糖和生活质量之间的关联。
在调整了协变量后，本研究表明，较高的患者不满与一般饮食较差、血糖水平更差和生活质量的心理成分评分较低显著相关。
在 2 型糖尿病患者中，患者不满与更高的血糖水平、较差的一般饮食和较低的生活质量显著相关。导致患者不满的人口统计学因素包括年轻、低收入和低健康素养。未来的研究应探讨如何解决患者的满意度问题，以改善健康结果。
