以人为本的护理与肥胖症患者的幸福感和护理满意度之间的关系。

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES International Journal for Quality in Health Care Pub Date : 2024-08-30 DOI:10.1093/intqhc/mzae078
Paige I Crompvoets, Anna P Nieboer, Elisabeth F C van Rossum, Jane M Cramm
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引用次数: 0

摘要

背景:以人为本的护理(PCC)与改善患者福祉和提高护理满意度有关,但其对肥胖症患者的影响尚未得到充分证实。本研究的主要目的是评估以人为中心的护理与肥胖症患者的身体和社会福祉之间的关系,以及他们对护理服务的满意度:本研究基于一项横断面网络调查,调查对象是具有代表性的荷兰肥胖症患者。主要结果是身体和社会福利以及对护理的满意度。主要影响因素是对整体 PCC 的评分,包括八个方面。此外,分析中考虑的协变量包括性别、年龄、婚姻状况、教育水平、体重指数和慢性疾病。研究人员采用描述性统计、相关性分析和多元回归分析等方法对 590 名参与者的数据进行了分析:在 PCC 的各个维度中,参与者对 "获得医疗服务 "的评分最高(中值 4.1,标度 0.6),而对 "医疗服务协调 "的评分(中值 3.5,标度 0.8)则低于其他所有维度。参与者对 PCC 的总体评价与他们的身体状况呈正相关(r = 0.255,结论:PCC 有望改善患者的治疗效果:PCC 有望改善肥胖症患者的治疗效果,包括身体和社会福祉以及对护理的满意度。这是一个重要的发现,尤其是考虑到肥胖对身体、社会和心理造成的深远影响。研究结果不仅强调了PCC在肥胖症患者医疗保健中的潜在益处,还为进一步完善PCC的提供策略以满足这些患者的特殊需求提供了有价值的见解。
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The relationship between person-centred care and well-being and satisfaction with care of patients living with obesity.

Person-centred care (PCC) is associated with improved patient well-being and higher levels of satisfaction with care but its impact on individuals living with obesity is not well-established. The main aim of this study was to assess the relationship between PCC and the physical and social well-being of patients living with obesity, as well as their satisfaction with care. This study is based on a cross-sectional, web-based survey administered among a representative panel of Dutch individuals living with obesity. The primary outcomes were physical and social well-being and satisfaction with care. The primary exposure was a rating of overall PCC, encompassing its eight dimensions. In addition, covariates considered in the analyses included sex, age, marital status, education level, body mass index, and chronic illness. The data from a total of 590 participants were analysed using descriptive statistics, correlation analyses, and multiple regression analyses. Among PCC dimensions, participants rated 'access to care' the highest (M 4.1, SD 0.6), while 'coordination of care' (M 3.5, SD 0.8) was rated lower than all other dimensions. Participants' overall PCC ratings were positively correlated with their physical (r = 0.255, P < .001) and social well-being (r = 0.289, P < .001) and their satisfaction with care (r = 0.788, P < .001), as were the separate dimension scores. After controlling for sex, age, marital status, education level, body mass index, and chronic illness in the regression analyses, participants' overall PCC ratings were positively related to their physical (β = 0.24, P < .001) and social well-being (β = 0.26, P < .001), and satisfaction with care (β = 0.79, P < .001). PCC holds promise for improved outcomes among patients living with obesity, both in terms of physical and social well-being, as well as satisfaction with care. This is an important finding, particularly when considering the profound physical, social, and psychological consequences associated with obesity. In addition to highlighting the potential benefits of PCC in the healthcare of individuals living with obesity, the findings offer valuable insights into strategies for further refining the provision of PCC to meet the specific needs of these patients.

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来源期刊
CiteScore
4.90
自引率
3.80%
发文量
87
审稿时长
6-12 weeks
期刊介绍: The International Journal for Quality in Health Care makes activities and research related to quality and safety in health care available to a worldwide readership. The Journal publishes papers in all disciplines related to the quality and safety of health care, including health services research, health care evaluation, technology assessment, health economics, utilization review, cost containment, and nursing care research, as well as clinical research related to quality of care. This peer-reviewed journal is truly interdisciplinary and includes contributions from representatives of all health professions such as doctors, nurses, quality assurance professionals, managers, politicians, social workers, and therapists, as well as researchers from health-related backgrounds.
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