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医患关系对风湿病治疗目标的影响

The Impact of the Doctor-Patient Relationship on the Treatment Goal in Rheumatology.

作者信息

Tsatsani Panagiota, Goula Aspasia, Stamouli Maria-Aggeliki, Soulis Sotiris

机构信息

KAT General Hospital of Athens, Athens, Greece.

Department of Business Administration, University of West Attica, Athens, Greece.

出版信息

Mediterr J Rheumatol. 2024 Feb 1;35(2):283-290. doi: 10.31138/mjr.110823.dpr. eCollection 2024 Jun.

Abstract

OBJECTIVES

To assess the perceptions of patients with rheumatic diseases about the doctor-patient relationship and the impact on their treatment and their quality of life.

METHODS

A quantitative study collecting data from patients with rheumatic diseases using the following tools: (a) the Doctor-Patient Relationship Assessment Questionnaire-16 (DoPRAQ-16), assessed the quality of doctor-patient relationship, (b) the Short Form 36 (SF-36) assessed the quality of life of patients, and (c) the Health Assessment Questionnaire (HAQ), assessed the functional ability of patients. From the statistical analysis, it appears that there is no linear correlation between the DoPRAQ-16 scales and the dimensions of the SF-36 Health Survey, except for the scale of negative emotions and the dimension of Physical Functioning. The nonparametric Kruskal-Wallis H test was performed to investigate the existence of statistically significant differences between the categories of duration of the relationship with the doctor to Physical Functioning, Physical Role, Emotional Role, and Social Functioning. The test was significant (p<0.05) for the dimensions of Body Role and Social Functioning.

CONCLUSIONS

Patients with long term relationship with the doctor have better health quality in the dimension of Physical Role and Social Functioning compared to people whose relationship with the doctor lasts fewer years.

摘要

目的

评估风湿性疾病患者对医患关系的看法及其对治疗和生活质量的影响。

方法

一项定量研究,使用以下工具收集风湿性疾病患者的数据:(a) 医患关系评估问卷 -16(DoPRAQ -16),评估医患关系质量;(b) 简短健康调查问卷(SF -36),评估患者生活质量;(c) 健康评估问卷(HAQ),评估患者功能能力。从统计分析来看,除了负面情绪量表与身体功能维度外,DoPRAQ -16量表与SF -36健康调查维度之间不存在线性相关性。进行非参数Kruskal - Wallis H检验,以调查与医生关系持续时间类别在身体功能、身体角色、情感角色和社会功能方面是否存在统计学显著差异。该检验在身体角色和社会功能维度上具有显著性(p<0.05)。

结论

与医生保持长期关系的患者,与和医生关系持续时间较短的人相比,在身体角色和社会功能维度上具有更好的健康质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0449/11350413/14aaaa5ece38/MJR-35-2-283-g001.jpg

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