Głowacka Mariola, Gasik Monika, Kujawa Waldemar, Cybulski Mateusz, Pluta Agnieszka
Collegium Medicum, The Mazovian University in Płock, Płock, Poland.
Provincial Polyclinical Hospital in Płock, Płock, Poland.
Front Public Health. 2024 Nov 28;12:1434693. doi: 10.3389/fpubh.2024.1434693. eCollection 2024.
The right attitude of health professionals (mainly doctors) towards patients-particularly older ones-determines patients' level of illness acceptance and quality of life. The aim of the study was to assess patient expectations of health professionals and quality of life among residents of Płock (Poland) aged 55 and over in relation to sociodemographic variables and to examine correlations between these patients' expectations and their quality of life.
The study included 2040 adults aged 55 and over, with 68.9% being women. A diagnostic survey was used, incorporating sociodemographic questions and two standardized scales: the Patient Request Form (PRF) and the 36-Item Short Form Health Survey (SF-36). This cohort study utilized a multi-stage sampling method, with data collected through a diagnostic survey. Data analysis incorporated ANOVA, post-hoc Fisher's LSD tests, and Pearson's correlation to assess relationships between variables.
Statistically significant differences were observed between male and female respondents in their expectations of health professionals. Women reported higher scores than men across all three PRF scales, including emotional support (4.85 vs. 4.35, < 0.05), test- and treatment-related information (7.41 vs. 6.81, p < 0.05), and explanation of the illness (6.89 vs. 6.47). A low but statistically significant correlation was found between age and expectations for emotional support (r = 0.162, < 0.001), as well as test- and treatment-related information (r = 0.122, < 0.001). Respondents with secondary/post-secondary education reported the highest expectations for explanation of the illness (mean = 7.06) and test- and treatment-related information (mean = 7.64). Meanwhile, respondents with lower education levels, especially those with primary or vocational education, reported the highest expectations for emotional support (mean = 4.93). The average QoL score measured by the SF-36 was 63.45 (SD = 17.68), indicating moderate-to-high overall QoL. The mental component summary score (mean = 65.07, SD = 19.69) was slightly higher than the physical component summary score (mean = 62.70, SD = 18.06). Age was negatively correlated with QoL scores, particularly in the physical component (r = -0.407, < 0.001). Education level positively influenced QoL, with respondents holding tertiary education reporting the highest QoL scores.
What the older adults included in our study expect most from health professionals is full and ac-curate medical information, particularly information about their health. Overall, the respondents reported moderate, bordering on high, quality of life. The quality of life of the respondents and their expectations of health professionals were influenced by sociodemographic characteristics, and in particular sex, age and education level.
医疗专业人员（主要是医生）对患者，尤其是老年患者的正确态度，决定了患者对疾病的接受程度和生活质量。本研究的目的是评估波兰普沃茨克55岁及以上居民对医疗专业人员的期望以及生活质量与社会人口统计学变量的关系，并检验这些患者的期望与生活质量之间的相关性。
该研究纳入了2040名55岁及以上的成年人，其中68.9%为女性。采用了诊断性调查，包括社会人口统计学问题以及两个标准化量表：患者需求表（PRF）和36项简短健康调查问卷（SF - 36）。这项队列研究采用多阶段抽样方法，通过诊断性调查收集数据。数据分析采用方差分析、事后费舍尔最小显著差异检验和皮尔逊相关性分析，以评估变量之间的关系。
在对医疗专业人员的期望方面，男性和女性受访者之间存在统计学上的显著差异。在PRF的所有三个量表中，女性的得分均高于男性，包括情感支持（4.85对4.35，p < 0.05）、检查和治疗相关信息（7.41对6.81，p < 0.05）以及疾病解释（6.89对6.47）。年龄与情感支持期望（r = 0.162，p < 0.001）以及检查和治疗相关信息期望（r = 0.122，p < 0.001）之间存在低但统计学上显著的相关性。接受过中等/中等后教育的受访者对疾病解释（平均 = 7.06）和检查及治疗相关信息（平均 = 7.64）的期望最高。同时，教育水平较低的受访者，尤其是接受小学或职业教育的受访者，对情感支持的期望最高（平均 = 4.93）。SF - 36测量的平均生活质量得分为63.45（标准差 = 17.68），表明总体生活质量为中到高。心理成分总结得分（平均 = 65.07，标准差 = 19.69）略高于身体成分总结得分（平均 = 62.70，标准差 = 18.06）。年龄与生活质量得分呈负相关，尤其是在身体成分方面（r = -0.407，p < 0.001）。教育水平对生活质量有积极影响，拥有高等教育的受访者生活质量得分最高。
我们研究中的老年人最期望医疗专业人员提供全面准确的医疗信息，尤其是关于他们健康的信息。总体而言，受访者报告的生活质量中等，接近高水平。受访者的生活质量及其对医疗专业人员的期望受到社会人口统计学特征的影响，特别是性别、年龄和教育水平。
