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以患者为中心的护理与幸福感和满意度与肥胖患者的护理关系。

The relationship between person-centred care and well-being and satisfaction with care of patients living with obesity.

机构信息

Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, 3000 DR Rotterdam P.O. Box 1738, The Netherlands.

Department of Internal Medicine, Division of Endocrinology, Erasmus MC, University Medical Center Rotterdam, 3000 CA Rotterdam P.O. Box 2040, The Netherlands.

出版信息

Int J Qual Health Care. 2024 Aug 30;36(3). doi: 10.1093/intqhc/mzae078.

Abstract

Person-centred care (PCC) is associated with improved patient well-being and higher levels of satisfaction with care but its impact on individuals living with obesity is not well-established. The main aim of this study was to assess the relationship between PCC and the physical and social well-being of patients living with obesity, as well as their satisfaction with care. This study is based on a cross-sectional, web-based survey administered among a representative panel of Dutch individuals living with obesity. The primary outcomes were physical and social well-being and satisfaction with care. The primary exposure was a rating of overall PCC, encompassing its eight dimensions. In addition, covariates considered in the analyses included sex, age, marital status, education level, body mass index, and chronic illness. The data from a total of 590 participants were analysed using descriptive statistics, correlation analyses, and multiple regression analyses. Among PCC dimensions, participants rated 'access to care' the highest (M 4.1, SD 0.6), while 'coordination of care' (M 3.5, SD 0.8) was rated lower than all other dimensions. Participants' overall PCC ratings were positively correlated with their physical (r = 0.255, P < .001) and social well-being (r = 0.289, P < .001) and their satisfaction with care (r = 0.788, P < .001), as were the separate dimension scores. After controlling for sex, age, marital status, education level, body mass index, and chronic illness in the regression analyses, participants' overall PCC ratings were positively related to their physical (β = 0.24, P < .001) and social well-being (β = 0.26, P < .001), and satisfaction with care (β = 0.79, P < .001). PCC holds promise for improved outcomes among patients living with obesity, both in terms of physical and social well-being, as well as satisfaction with care. This is an important finding, particularly when considering the profound physical, social, and psychological consequences associated with obesity. In addition to highlighting the potential benefits of PCC in the healthcare of individuals living with obesity, the findings offer valuable insights into strategies for further refining the provision of PCC to meet the specific needs of these patients.

摘要

以患者为中心的护理(PCC)与改善患者的幸福感和提高对护理的满意度有关,但它对肥胖患者的影响尚未得到充分证实。本研究的主要目的是评估 PCC 与肥胖患者的身体和社会福祉以及他们对护理的满意度之间的关系。本研究基于一项横断面、基于网络的调查,在荷兰肥胖患者的代表性样本中进行。主要结果是身体和社会福祉以及对护理的满意度。主要暴露因素是对整体 PCC 的评分,包括其八个维度。此外,分析中考虑的协变量包括性别、年龄、婚姻状况、教育水平、体重指数和慢性疾病。对总共 590 名参与者的数据进行了描述性统计分析、相关分析和多元回归分析。在 PCC 维度中,参与者对“获得护理”的评价最高(M4.1,SD0.6),而“护理协调”(M3.5,SD0.8)的评价低于其他所有维度。参与者对整体 PCC 的评价与他们的身体(r=0.255,P<0.001)和社会福祉(r=0.289,P<0.001)以及他们对护理的满意度(r=0.788,P<0.001)呈正相关,各个维度的评分也是如此。在回归分析中控制了性别、年龄、婚姻状况、教育水平、体重指数和慢性疾病后,参与者对整体 PCC 的评价与他们的身体(β=0.24,P<0.001)和社会福祉(β=0.26,P<0.001)以及对护理的满意度(β=0.79,P<0.001)呈正相关。PCC 有望改善肥胖患者的预后,无论是在身体和社会福祉方面,还是在对护理的满意度方面。这是一个重要的发现,特别是考虑到肥胖相关的深刻的身体、社会和心理后果。除了强调 PCC 在肥胖患者医疗保健中的潜在益处外,这些发现还为进一步完善 PCC 的提供提供了有价值的见解,以满足这些患者的特定需求。

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