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呵叻府初级保健单位成年糖尿病患者的预约失约情况以及个人特征、性格和家庭特征与预约失约之间的潜在关联

Missed Appointments and the Potential Correlation between Personal Characteristics, Personality, and Familial Characteristics and Missed Appointments for Adults with Diabetes Mellitus at the Primary Care Unit of Khon Kaen Province.

作者信息

Sae-Ueng Natsuda, Luvira Varisara

机构信息

Department of Community, Family and Occupational Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand.

出版信息

Healthcare (Basel). 2024 Oct 6;12(19):1992. doi: 10.3390/healthcare12191992.

Abstract

BACKGROUND/OBJECTIVES: Regular follow-up treatment is important for the management of diabetes and to reduce the risk of complications. In this study, we aimed to evaluate the proportion of adult diabetic patients who miss appointments, in addition to the potential correlation between personal characteristics, personality, and the context of family structure and characteristics and missed appointments by adult patients with type 2 diabetes.

METHODS

This study was a cross-sectional descriptive study. The data were gathered through self-administered questionnaires and the patient medical records of 106 individuals who received healthcare services at the Khon Kaen Province primary care unit. Data were gathered from 1 November 2023 to 28 December 2023. Adjusted odds ratios (aORs) and Chi-Square statistics were used to evaluate the relationships with multivariate analyses via multinomial logistic regression and the Kruskal-Wallis test.

RESULTS

The majority of patients in the sample, 39.62%, regularly missed appointments. There was a significant association between occasionally missed appointments and middle adulthood (-value 0.013) and regular exercise (-value 0.025). A moderate level of the agreeableness personality trait showed a significant association with missed appointments (-value 0.042).

CONCLUSIONS

It is important to have a comprehensive understanding of the patient's personality and family characteristics to effectively plan their healthcare and provide optimal support for diabetes treatment.

摘要

背景/目的:定期随访治疗对于糖尿病管理及降低并发症风险至关重要。在本研究中,我们旨在评估成年糖尿病患者错过预约的比例,以及2型糖尿病成年患者的个人特征、性格与家庭结构及特征背景和错过预约之间的潜在关联。

方法

本研究为横断面描述性研究。数据通过自填问卷及孔敬省基层医疗单位106名接受医疗服务患者的病历收集。数据收集时间为2023年11月1日至2023年12月28日。采用调整后的比值比(aORs)和卡方统计量,通过多项逻辑回归和克鲁斯卡尔-沃利斯检验评估与多变量分析的关系。

结果

样本中的大多数患者(39.62%)经常错过预约。偶尔错过预约与中年(P值0.013)和经常锻炼(P值0.025)之间存在显著关联。适度的宜人性人格特质与错过预约存在显著关联(P值0.042)。

结论

全面了解患者的性格和家庭特征对于有效规划其医疗保健并为糖尿病治疗提供最佳支持非常重要。

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