Raslan Eman I M, Abdelmoaty Sarah A, Khafagy Ghada M
Department of Family Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.
J Family Community Med. 2024 Jul-Sep;31(3):206-213. doi: 10.4103/jfcm.jfcm_332_23. Epub 2024 Jul 17.
Different approaches, especially the patient-centered approach with emphasis on the patient's empowerment, were used with diabetic patients to ensure a better quality of life. The study aimed to evaluate the effects of patient empowerment versus traditional health education models on the satisfaction of diabetic patients.
A randomized clinical trial was conducted on 130 patients, aged 40-65 years, diagnosed with type 2 diabetes mellitus, and attending a family medicine outpatient clinic. Patients were blinded and randomly allocated into one of the two Groups (A and B) for a health education session with trained family physicians using the empowerment model and the traditional model, respectively. Patient satisfaction was assessed using the consultation satisfaction questionnaire (CSQ). The relations between different qualitative variables were assessed by Chi-square test; differences in various quantitative variables were determined by t-test and ANOVA. Pearson correlation assessed the correlation between age and different domains as well as the total questionnaire scores of both groups.
A highly statistically significant difference was found between Group A ( = 65) and Group B ( = 65) for the general satisfaction scale, professional care analysis, depth, and length of consultation ( < 0.001). In Group A, 61.5% were highly satisfied and 35.4% were moderately satisfied, while in Group B, 41.5% were moderately satisfied and 43.1% were neutral. Regarding physicians' perceptions of the communication process with patients during the health education sessions, 83% in Group A perceived it as good, while 69.2% in Group B perceived it as average.
The patient empowerment model of health education was linked to higher rates of patient satisfaction and a better physician perception of the communication process during the consultation. The study was self-funded, and no harm was done to the patients.
采用了不同的方法，尤其是以患者为中心、强调患者赋权的方法来治疗糖尿病患者，以确保更好的生活质量。本研究旨在评估患者赋权与传统健康教育模式对糖尿病患者满意度的影响。
对130名年龄在40 - 65岁、被诊断为2型糖尿病且在家庭医学门诊就诊的患者进行了一项随机临床试验。患者被设盲并随机分为两组（A组和B组），分别由经过培训的家庭医生采用赋权模式和传统模式进行健康教育课程。使用咨询满意度问卷（CSQ）评估患者满意度。通过卡方检验评估不同定性变量之间的关系；通过t检验和方差分析确定各种定量变量的差异。Pearson相关性分析评估年龄与不同领域以及两组问卷总分之间的相关性。
A组（n = 65）和B组（n = 65）在总体满意度量表、专业护理分析、咨询深度和时长方面存在高度统计学显著差异（P < 0.001）。A组中，61.5%的患者非常满意，35.4%的患者中度满意；而B组中，41.5%的患者中度满意，43.1%的患者态度中立。关于医生对健康教育课程期间与患者沟通流程的看法，A组中83%的医生认为沟通良好，而B组中69.2%的医生认为沟通一般。
健康教育的患者赋权模式与更高的患者满意度以及医生对咨询期间沟通流程的更好看法相关。该研究为自筹资金，且未对患者造成伤害。
