Rajput Soni, Kumar Amit, Puranik Manjunath P, Shanbhag Namita
Department of Community Dentistry, Goa Dental College and Hospital, Bambolim, Goa, India.
Oral Health Sciences Centre, PGIMER, Chandigarh, India.
J Educ Health Promot. 2020 Sep 28;9:249. doi: 10.4103/jehp.jehp_22_20. eCollection 2020.
Empathy is considered to be backbone of the patient-physician relationship. The consultation and relational empathy (CARE) measure is widely used internationally to measure empathy. However, no validated tool is available to gather patient feedback on dentists' empathy in India.
The objective of this study was to explore the reliability and validity of a CARE measure and to assess the factors influencing CARE score and to determine if there was an association between their CARE score and satisfaction of the patient.
A cross-sectional study was done in dental colleges.
A questionnaire study was carried out among 100 patients from 6 dental colleges in Bangalore using validated CARE measure.
Internal consistency of items was evaluated by the Cronbach's alpha, and construct validity was assessed by confirmatory factor analysis. Satisfaction was assessed by a question response on 5-point Likert scale. Descriptive and inferential statistics were performed with significance set at 5%.
The mean CARE score was 43.80 ± 5.36. Internal reliability was high (Cronbach's alpha: 0.859) and was reduced by the removal of any of 10 items. High corrected item-total correlations ranged from 0.752 to 0.847. Factor analysis showed a single solution with high item loadings (>0.80). Self-perception of overall health (odds ratio [OR] = 3.78), relationship with family (OR = 4.61) and friends (OR = 3.78), and previous dental experience (OR = 16.00) were more likely, whereas dentist-provided treatment (OR = 0.20), number (OR = 0.07) and dental treatment taken (OR = 0.13), presence of anxiety (OR = 0.03), and fear (OR = 0.05) were less likely to have CARE score. The satisfaction of the patient regressed significantly with the relationship with family members (ß = 0.77) and CARE score (ß = 0.21).
This study confirms the educational opportunity and implementation of CARE in dental students. CARE scores among patients varied depending on personal factors and dental treatment-related factors. The satisfaction of the patient was influenced by the relationship with family members and CARE scores.
同理心被认为是医患关系的核心。咨询与关系同理心（CARE）量表在国际上被广泛用于测量同理心。然而，在印度，尚无经过验证的工具来收集患者对牙医同理心的反馈。
本研究的目的是探讨CARE量表的信度和效度，评估影响CARE得分的因素，并确定患者的CARE得分与满意度之间是否存在关联。
在牙科学院进行了一项横断面研究。
使用经过验证的CARE量表，对来自班加罗尔6所牙科学院的100名患者进行了问卷调查。
通过Cronbach's alpha评估项目的内部一致性，并通过验证性因子分析评估结构效度。通过对一个问题的5点李克特量表回答来评估满意度。进行描述性和推断性统计，显著性水平设定为5%。
CARE量表的平均得分为43.80±5.36。内部信度较高（Cronbach's alpha：0.859），去除10个项目中的任何一个后信度均降低。校正后的项目-总分相关性较高，范围从0.752到0.847。因子分析显示单一解，项目载荷较高（>0.80）。总体健康的自我认知（优势比[OR]=3.78）、与家人（OR=4.61）和朋友（OR=3.78）的关系以及以前的牙科经历（OR=16.00）更有可能获得较高的CARE得分，而牙医提供的治疗（OR=0.20）、治疗次数（OR=0.07）和接受的牙科治疗（OR=0.13）、焦虑（OR=0.03）和恐惧（OR=0.05）的存在则不太可能获得较高的CARE得分。患者的满意度与与家庭成员的关系（β=0.77）和CARE得分（β=0.21）显著相关。
本研究证实了牙科学院学生接受CARE教育的机会及其实践情况。患者的CARE得分因个人因素和牙科治疗相关因素而异。患者的满意度受与家庭成员的关系和CARE得分的影响。
