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马来西亚吉兰丹州基于患者视角的 COVID-19 大流行期间医护人员关怀意愿的预测因素:一项横断面研究。

Predictors of Healthcare Workers' Compassionate Care Amid the COVID-19 Pandemic: A Cross-Sectional Study from Patients' Perspective in Kelantan, Malaysia.

机构信息

Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.

Public Health Unit, Hospital Raja Perempuan Zainab II, Kota Bharu 16150, Malaysia.

出版信息

Int J Environ Res Public Health. 2023 Jan 12;20(2):1380. doi: 10.3390/ijerph20021380.

DOI:10.3390/ijerph20021380
PMID:36674149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9859271/
Abstract

Background: Compassionate care served by healthcare workers (HCWs) has been recognized as one of the most critical aspects of high-quality care. Unfortunately, there is still an unmet need for the assessment of compassionate care from the patient’s perspective. During the COVID-19 pandemic, many new rules were enacted to tackle the raging pandemic, which raised concerns about its effect on compassionate care. Methods: A cross-sectional study involving 315 patients from three public hospitals was conducted during the conditional movement control order (CMCO). A self-administered Malay version of the Relational Aspect of Care Questionnaire (RAC-QM) was used to assess compassionate care. Multiple linear regression was used to determine the predictors. Results: More than 90% of the patients were Malays, Muslims, and fell under the B40 household income category. Companions were present for 51.7% of the patients, but 75.2% had no visitors. All hospitals received scores of more than 90%. Occupation (student, p = 0.032), dependency level (total dependent, p < 0.001), and household income level (M40, p = 0.027) were the statistically significant predictors for compassionate care. Conclusions: The current study revealed that compassionate care to patients was not compromised during the pandemic. Patients with disabilities or financial constraints are more likely to experience less compassionate care, while students are generally more satisfied. This study may provide clues for hospital administrators and policymakers regarding the vulnerable group of patients. It also provides opportunities for future research to study the perspective of HCWs.

摘要

背景

医护人员提供的关爱护理已被视为高质量护理的最关键方面之一。不幸的是,从患者角度评估关爱护理的需求仍未得到满足。在 COVID-19 大流行期间,为应对肆虐的大流行,出台了许多新规定,这引起了人们对其对关爱护理影响的担忧。

方法

在有条件的行动管制令(CMCO)期间,对来自三家公立医院的 315 名患者进行了横断面研究。使用马来语版关系方面护理问卷(RAC-QM)自我评估关爱护理。采用多元线性回归确定预测因素。

结果

超过 90%的患者是马来人、穆斯林,属于 B40 家庭收入类别。有 51.7%的患者有陪伴者,但 75.2%的患者没有访客。所有医院的得分都超过 90%。职业(学生,p = 0.032)、依赖程度(完全依赖,p < 0.001)和家庭收入水平(M40,p = 0.027)是关爱护理的统计学显著预测因素。

结论

本研究表明,在大流行期间,患者的关爱护理并未受到影响。残疾或经济拮据的患者更可能体验到较少的关爱护理,而学生则普遍更满意。这项研究可为医院管理人员和政策制定者提供有关弱势群体患者的线索。它也为未来研究提供了机会,以研究医护人员的观点。

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