Biyazin Tsegaw, Fenta Belete, Yetwale Aynalem, Taye Ayanos, Belay Yeshitila
School of Midwifery, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Ethiopia.
School of Nursing, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Ethiopia.
Perioper Med (Lond). 2022 Mar 3;11(1):8. doi: 10.1186/s13741-022-00241-8.
The relationship between the health care provider and the patient is an indispensable element of medical care. The existence of a proper therapeutic relationship between the health care provider and the patient can increase patients' trust and willingness to communicate, improve adherence to medical recommendations, enhance continuing care, and promote patient satisfaction. However, little is known in developing countries including Ethiopia what the patient health care provider relationship looks like. This study aimed to assess the health care provider-patient relationship during preoperative care in obstetric and gynecologic surgeries at Jimma Medical Center, Jimma, Ethiopia.
Institution-based cross-sectional study was conducted from April 1 to May 30, 2020, at Jimma Medical Center. A total of 372 surgical patients were selected using a systematic random sampling method. The collected data were coded, entered into Epi data version 3.1, and analyzed using the statistical package for social science (SPSS) version 25. Bivariate and multivariable regression was carried out to determine the association between the outcome variable and the independent variable. The strength of association of dependent and independent variables was presented by crude and adjusted odds ratio at a 95% confidence interval. Variables with a p value of < 0.05 were considered statistically significant.
The proportion of good patient to health care provider relationship in this study was 179 (48%) and it had a significant association with patient marital status AOR = 0.29 (95% CI 0.147-0.580), consent form available AOR = 0.162 (95% CI 0.035-0.750), the profession of healthcare providers who request the consent AOR = 0.305 (95% CI 0.117-.794), mode of decision-making AOR = 0.165 (95% CI 0.039-.709), and patient's satisfaction AOR = 5.34(95% CI 3.1-9.16).
The proportion of patient-to healthcare providers' relationship was low. More than half of the respondents did not have good patient-health care provider relationship. Hence, health care providers should be concerned about their relationship with their patients to increase the quality of medical care. The health care providers should bear in mind that patients may refuse to seek care from a provider whose relationship is not strong, even if the provider is skilled in preventing and managing complications.
医疗服务提供者与患者之间的关系是医疗保健中不可或缺的要素。医疗服务提供者与患者之间建立适当的治疗关系能够增强患者的信任和沟通意愿，提高对医疗建议的依从性，加强持续护理，并提升患者满意度。然而，在包括埃塞俄比亚在内的发展中国家，对于患者与医疗服务提供者之间的关系状况却知之甚少。本研究旨在评估埃塞俄比亚吉马市吉马医疗中心妇产科手术术前护理期间医疗服务提供者与患者之间的关系。
于2020年4月1日至5月30日在吉马医疗中心开展了一项基于机构的横断面研究。采用系统随机抽样方法共选取了372名手术患者。收集到的数据进行编码后录入Epi data 3.1版本，并使用社会科学统计软件包（SPSS）25版本进行分析。进行双变量和多变量回归以确定结果变量与自变量之间的关联。在95%置信区间下，用粗比值比和调整后的比值比来呈现因变量与自变量的关联强度。p值<0.05的变量被认为具有统计学意义。
本研究中患者与医疗服务提供者关系良好的比例为179人（48%），且其与患者婚姻状况AOR = 0.29（95% CI 0.147 - 0.580）、有同意书AOR = 0.162（95% CI 0.035 - 0.750）、请求同意的医疗服务提供者职业AOR = 0.305（95% CI 0.117 - 0.794）、决策模式AOR = 0.165（95% CI 0.039 - 0.709）以及患者满意度AOR = 5.34（95% CI 3.1 - 9.16）存在显著关联。
患者与医疗服务提供者之间关系良好的比例较低。超过半数的受访者与医疗服务提供者之间没有良好的关系。因此，医疗服务提供者应关注他们与患者之间的关系，以提高医疗质量。医疗服务提供者应牢记，即使提供者在预防和处理并发症方面技术娴熟，但如果关系不够融洽，患者可能会拒绝寻求其治疗。
