Chona Emmanuel Z, Kayange Lusajo F, Iseselo Masunga K
School of Nursing Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania.
Department of Clinical Nursing Muhimbili University of Health and Allied Sciences Dar es Salaam Tanzania.
Public Health Chall. 2024 Sep 2;3(3):e70002. doi: 10.1002/puh2.70002. eCollection 2024 Sep.
Diabetes is a major public health problem worldwide, currently affecting more than 537 million people. The disease is associated with high morbidity and mortality rates. Modern diabetes care has evolved toward more patient-centered approaches, emphasizing individualized treatment plans and targets. This study sought to assess the level of satisfaction with diabetes care and related factors among patients attending public diabetes clinics in Dar es Salaam, Tanzania.
This descriptive cross-sectional study used a simple random sampling method to recruit 423 diabetic patients from May to October 2023. Data collection was conducted using a structured questionnaire administered by an interviewer. The collected data were coded and analyzed using Statistical Package for the Social Sciences (SPSS) version 25.
The mean (±SD) age of participants was 58.7 (±11.68) years. About half (51.1%) of participants reported being satisfied with the diabetes care provided, 26.2% were very satisfied, and 22.7% were dissatisfied. Participants who usually spend 1-3 h pursuing services at the facilities had 0.40 less odds of being dissatisfied with diabetes care offered at the clinics compared to those who spend more than 3 h on each attendance (adjusted odds ratio [adjusted OR] 0.40, 95% confidence interval [CI] 0.21-0.76, = 0.005). For each one-unit increase in the communication subscale score, the likelihood of satisfaction (as opposed to being very satisfied) increased (adjusted OR 1.23, 95% CI 1.09-1.38, = 0.001). Each one-unit increase in the accessibility subscale score increased the probability of satisfaction (adjusted OR 1.12, 95% CI 1.02-1.24, = 0.023) and decreased the probability of dissatisfaction (adjusted OR 0.85, 95% CI 0.76-0.95, = 0.004).
These findings highlight the importance of effective communication and accessibility in improving patient satisfaction with diabetes care in public clinics. Health facilities and allied stakeholders should engage in continual capacity building among healthcare providers. Furthermore, other studies should be conducted at different levels of health facilities across the country to capture new insights on the satisfaction of homogenous sub-groups of patients.
糖尿病是全球主要的公共卫生问题，目前影响着超过5.37亿人。该疾病与高发病率和死亡率相关。现代糖尿病护理已朝着更以患者为中心的方法发展，强调个性化的治疗计划和目标。本研究旨在评估坦桑尼亚达累斯萨拉姆公立糖尿病诊所患者对糖尿病护理的满意度水平及相关因素。
这项描述性横断面研究采用简单随机抽样方法，于2023年5月至10月招募了423名糖尿病患者。数据收集通过由访谈者管理的结构化问卷进行。收集到的数据使用社会科学统计软件包（SPSS）25版进行编码和分析。
参与者的平均（±标准差）年龄为58.7（±11.68）岁。约一半（51.1%）的参与者表示对所提供的糖尿病护理感到满意，26.2%非常满意，22.7%不满意。与每次就诊花费超过3小时的参与者相比，通常在医疗机构花费1 - 3小时寻求服务的参与者对诊所提供的糖尿病护理不满意的几率低0.40（调整后的优势比[调整后的OR]为0.40，95%置信区间[CI]为0.21 - 0.76，P = 0.005）。沟通子量表得分每增加一个单位，满意（而非非常满意）的可能性增加（调整后的OR为1.23，95% CI为1.09 - 1.38，P = 0.001）。可及性子量表得分每增加一个单位，满意的概率增加（调整后的OR为1.12，95% CI为1.02 - 1.24，P = 0.023），不满意的概率降低（调整后的OR为0.85，95% CI为0.76 - 0.95，P = 0.004）。
这些发现突出了有效沟通和可及性在提高公立诊所患者对糖尿病护理满意度方面的重要性。卫生设施及相关利益攸关方应致力于医疗服务提供者之间的持续能力建设。此外，应在全国不同级别的卫生设施开展其他研究，以获取关于同类患者亚组满意度的新见解。
