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探索文化敏感性、技术和患者赋权与以患者为中心的护理之间的关联:阿联酋康复医疗中心的一项混合方法研究。

Exploring the Associations of Cultural Sensitivity, Technology, and Patient Empowerment with Patient-Centered Care: A Mixed-Methods Study in UAE Rehabilitation Healthcare Centers.

作者信息

Xue Wenxing, Hou Rui, Duan Aixu, Zhao Yanhua, Awad Murad

机构信息

Nursing College, Shanxi Datong University, Datong City, 037009, China.

The Seventh People's Hospital of Hangzhou City, Zhejiang Province, 310007, China.

出版信息

J Gen Intern Med. 2025 May 27. doi: 10.1007/s11606-025-09401-0.

Abstract

BACKGROUND

Patient-centered care is a healthcare priority, particularly in diverse settings like the United Arab Emirates. Understanding the factors influencing its delivery is essential for effective care.

OBJECTIVE

This study examines the association between cultural sensitivity, technology, and patient empowerment with patient-centered care in UAE rehabilitation healthcare centers.

DESIGN

A mixed-methods approach was employed, integrating quantitative and qualitative data collection. Quantitative data was analyzed using correlation and regression analyses, while qualitative data was explored through thematic analysis to identify key patterns.

PARTICIPANTS

The study involved 100 healthcare providers (internists, nurses, rehabilitation therapists) working in licensed rehabilitation healthcare centers in the UAE. Additionally, 200 patients recruited through purposive sampling from both inpatient and outpatient settings. Patients, aged 18-54, represented diverse socio-economic backgrounds and health conditions, including musculoskeletal, neurological, and chronic illnesses.

APPROACH

Quantitative data was collected using a structured questionnaire comprising 12 items measured on a 5-point Likert scale, focusing on healthcare providers' and patients' perceptions of cultural sensitivity, technology integration, and patient empowerment. Qualitative data from semi-structured interviews was transcribed, coded, and analyzed to explore detailed perspectives on how cultural practices, technological tools, and empowerment strategies influence care delivery.

KEY RESULTS

Cultural sensitivity demonstrated a strong positive correlation with patient-centered care (PCC) (r = 0.938, p < 0.001), as did patient empowerment (r = 0.965, p < 0.001). Regression analysis revealed that patient empowerment was the most influential factor (B = 0.800, p < 0.001), followed by cultural sensitivity (B = 0.110, p = 0.041). Thematic analysis of qualitative data highlighted the significance of cultural practices, adaptability of technology, and patient-driven strategies in shaping positive care experiences.

CONCLUSION

The findings align with existing research, underscoring the importance of cultural competence, technological integration, and patient empowerment in delivering effective patient-focused care.

摘要

背景

以患者为中心的护理是医疗保健的重点,在阿拉伯联合酋长国等多样化环境中尤为如此。了解影响其提供的因素对于有效护理至关重要。

目的

本研究考察了阿拉伯联合酋长国康复医疗中心文化敏感性、技术和患者赋权与以患者为中心的护理之间的关联。

设计

采用混合方法,整合定量和定性数据收集。定量数据采用相关性和回归分析进行分析,而定性数据通过主题分析进行探索以识别关键模式。

参与者

该研究涉及在阿拉伯联合酋长国持牌康复医疗中心工作的100名医疗服务提供者(内科医生、护士、康复治疗师)。此外,通过目的抽样从住院和门诊环境中招募了200名患者。年龄在18至54岁之间的患者代表了不同的社会经济背景和健康状况,包括肌肉骨骼、神经和慢性疾病。

方法

定量数据通过一份包含12个项目的结构化问卷收集,这些项目采用5点李克特量表进行测量,重点关注医疗服务提供者和患者对文化敏感性、技术整合和患者赋权的看法。对半结构化访谈的定性数据进行转录、编码和分析,以探索文化实践、技术工具和赋权策略如何影响护理提供的详细观点。

主要结果

文化敏感性与以患者为中心的护理(PCC)呈强正相关(r = 0.938,p < 0.001),患者赋权也是如此(r = 0.965,p < 0.001)。回归分析表明,患者赋权是最具影响力的因素(B = 0.800,p < 0.001),其次是文化敏感性(B = 0.110,p = 0.041)。定性数据的主题分析突出了文化实践、技术适应性和患者驱动策略在塑造积极护理体验方面的重要性。

结论

研究结果与现有研究一致,强调了文化能力、技术整合和患者赋权在提供有效的以患者为中心的护理中的重要性。

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