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急诊科出院后结果的人格预测因素。

Personality Predictors of Emergency Department Post-Discharge Outcomes.

作者信息

Atherton Olivia E, Willroth Emily C, Schwaba Ted, Goktan Ayla J, Graham Eileen K, Condon David M, Rao Mitesh B, Mroczek Daniel K

机构信息

Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Department of Psychology, University of Texas Austin, Austin, TX, USA.

出版信息

Personal Sci. 2021;2. doi: 10.5964/ps.7193. Epub 2021 Nov 22.

Abstract

Personality traits are important predictors of health behaviors, healthcare utilization, and health outcomes. However, we know little about the role of personality traits for emergency department outcomes. The present study used data from 200 patients (effective Ns range from 84 to 191), who were being discharged from the emergency department at an urban hospital, to investigate whether the Big Five personality traits were associated with post-discharge outcomes (i.e., filling prescriptions, following up with primary care physician, making an unscheduled return to the emergency department). Using logistic regression, we found few associations among the broad Big Five domains and post-discharge outcomes. However, results showed statistically significant associations between specific Big Five items (e.g., "responsible") and the three post-discharge outcomes. This study demonstrates the feasibility of assessing personality traits in an emergency medicine setting and highlights the utility of having information about patients' personality tendencies for predicting post-discharge compliance.

摘要

人格特质是健康行为、医疗保健利用和健康结果的重要预测指标。然而,我们对人格特质在急诊科治疗结果中所起的作用知之甚少。本研究使用了来自一家城市医院急诊科200名出院患者的数据(有效样本量范围为84至191),以调查大五人格特质是否与出院后结果(即填写处方、跟进初级保健医生、非计划返回急诊科)相关。通过逻辑回归分析,我们发现大五人格的宽泛维度与出院后结果之间几乎没有关联。然而,结果显示特定的大五人格项目(如“有责任心”)与三项出院后结果之间存在统计学上的显著关联。本研究证明了在急诊医学环境中评估人格特质的可行性,并强调了了解患者人格倾向信息对于预测出院后依从性的实用性。

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