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以患者为中心的护理与糖尿病患者的满意度:来自沙特阿拉伯初级医疗保健中心患者调查的见解

Patient-centered care and satisfaction of patients with diabetes: insights from a survey among patients at primary healthcare centers in Saudi Arabia.

作者信息

Alsubahi Nizar, Groot Wim, Alzahrani Ahmed Ali, Ahmad Ala'eddin, Pavlova Milena

机构信息

Department of Health Service and Hospital Administration, Faculty of Economics and Administration, King Abdul Aziz University, Jeddah, 21589, Saudi Arabia.

Department of Health Services Research, Care and Public Health Research Institute-CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University Medical Center, Maastricht University, P.O. Box 616, 6200, Maastricht, MD, The Netherlands.

出版信息

BMC Prim Care. 2025 May 1;26(1):140. doi: 10.1186/s12875-025-02778-1.

Abstract

BACKGROUND AND OBJECTIVE

Patient-centered care (PCC) and patient satisfaction are pivotal in healthcare provision for patients with diabetes. This study investigates the link between perceived PCC and satisfaction with care among patients with diabetes in Saudi Arabia.

METHODS

A cross-sectional study was conducted at 47 primary healthcare centers affiliated with general hospitals, including King Abdullah Medical Complex, King Abdulaziz Hospital, East Jeddah Hospital, King Fahd General Hospital, and Al Thagr General Hospital, operated by the Ministry of Health in Jeddah City, Saudi Arabia, between July and August 2023. Over 800 patients with diabetes were approached through a random sampling technique at the reception areas of these centers. These patients were directed to designated private rooms for further engagement, where they completed a face-to-face questionnaire administered by an interviewer. Data analysis was conducted using the software package SPSS version 28 and AMOS version 28.

RESULTS

Of the 594 patients who participated in the study (response rate 73.4%), the results indicated that the perceived level of PCC, including physical comfort (β = 0.200, p = 0.000), continuity in care transition (β = 0.114, p = 0.031), access to care (β = 0.203, p = 0.000), information and education (β = 0.169, p = 0.001), and family and friends involvement (β = 0.082, p = 0.023), were significantly related to patient satisfaction. However, other perceived PCC components, like patient preferences (β = 0.052, p = 0.233), care coordination (β = 0.078, p = 0.123), and emotional support (β=-0.080, p = 0.066), did not appear to have a significant relationship with patient satisfaction. Income and level of education substantially impacted the perception of PCC and satisfaction with care. One notable finding was that the perceived level of PCC had a strong positive relationship with patient satisfaction (β = 0.762, p = 0.002).

CONCLUSION

This study highlights the significant positive relationship between PCC and patient satisfaction in diabetes care in Saudi Arabia. It emphasizes the need for healthcare tailored to individual needs and demographic factors. This provide advocates the broader integration of PCC principles in health systems, particularly in Saudi Arabia, to improve patient experience and satisfaction. Policymakers should integrate patient-centered care into healthcare policies to improve service quality and health outcomes.

摘要

背景与目的

以患者为中心的护理(PCC)和患者满意度在糖尿病患者的医疗服务中至关重要。本研究调查了沙特阿拉伯糖尿病患者对PCC的认知与护理满意度之间的联系。

方法

2023年7月至8月间,在沙特阿拉伯吉达市由卫生部运营的47家隶属于综合医院的基层医疗中心开展了一项横断面研究,这些医院包括阿卜杜拉国王医疗中心、阿卜杜勒阿齐兹国王医院、吉达东部医院、法赫德国王综合医院和塔吉尔综合医院。通过随机抽样技术在这些中心的接待区接触了800多名糖尿病患者。这些患者被引导至指定的私人房间进行进一步交流,在那里他们完成了由一名访谈员进行的面对面问卷调查。使用统计分析软件包SPSS 28版和AMOS 28版进行数据分析。

结果

在参与研究的594名患者中(应答率73.4%),结果表明,PCC的感知水平,包括身体舒适度(β = 0.200,p = 0.000)、护理过渡的连续性(β = 0.114,p = 0.031)、获得护理的机会(β = 0.203,p = 0.000)、信息与教育(β = 0.169,p = 0.001)以及家人和朋友的参与(β = 0.082,p = 0.023),与患者满意度显著相关。然而,其他PCC感知要素,如患者偏好(β = 0.052,p = 0.233)、护理协调(β = 0.078,p = 0.123)和情感支持(β = -0.080,p = 0.066),似乎与患者满意度没有显著关系。收入和教育水平对PCC的认知和护理满意度有重大影响。一个值得注意的发现是,PCC的感知水平与患者满意度呈强烈正相关(β = 0.762,p = 0.002)。

结论

本研究突出了沙特阿拉伯糖尿病护理中PCC与患者满意度之间的显著正相关关系。它强调了根据个体需求和人口统计学因素提供医疗服务的必要性。这提倡在卫生系统中更广泛地整合PCC原则,特别是在沙特阿拉伯,以改善患者体验和满意度。政策制定者应将以患者为中心的护理纳入医疗政策,以提高服务质量和健康结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65fb/12044916/7001ed94bd1b/12875_2025_2778_Fig1_HTML.jpg

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本文引用的文献

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Patient-centered care in diabetes care-concepts, relationships and practice.
World J Diabetes. 2024 Jul 15;15(7):1417-1429. doi: 10.4239/wjd.v15.i7.1417.
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J Pediatr Nurs. 2024 Sep-Oct;78:60-65. doi: 10.1016/j.pedn.2024.06.003. Epub 2024 Jun 14.
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