PDF(Pubmed)
Abstract：
UNASSIGNED: Depression is common among hospitalized patients and poses a significant threat to their quality of life. Patient engagement (PE) in healthcare has been shown to be associated with positive health outcomes. However, the relationship between PE and depression among hospitalized patients, with and without chronic conditions, has not yet been explored. This study aimed to investigate the association between patients\' satisfaction with PE and self-reported depression in Chinese public hospitals.
UNASSIGNED: A multi-centered, cross-sectional survey was conducted in seven tertiary-level public hospitals in Guangdong province, China. Twelve items from a patient-centered care questionnaire and the Patient Health Questionnaire 2-item version were used were used to assess patients\' satisfaction with PE and self-reported depression, respectively. Propensity score matching (PSM) approach was used to reduce selection bias and potential baseline differences between patients with and without chronic conditions. The relationship between satisfaction with PE and depression was assessed, using univariate and multivariate logistic regression analyses, respectively.
UNASSIGNED: A total of 1,974 hospitalized patients participated in the survey. After the PSM procedure, 604 patients were assigned to the chronic condition group, and another 604 patients were successfully matched in the comparison group with no differences in sex, age, educational level, and PE-related characteristics. Univariate logistic regression analysis indicated that high satisfaction with PE-related approaches significantly decreased the probability of developing depressive status. Multivariate logistic regression analysis further indicated that, after adjusting all PE-related approaches, \"patient education\" and \"involvement in discharge planning\" could significantly decrease the probability of patients developing depression.
UNASSIGNED: Our results indicate that encouraging PE and improving patients\' satisfaction with PE interventions in clinical practice led to improved mental health outcomes among hospitalized patients in China.
UNASSIGNED: A multi-centered, cross-sectional survey was conducted in seven tertiary-level public hospitals in Guangdong province, China. Twelve items from a patient-centered care questionnaire and the Patient Health Questionnaire 2-item version were used were used to assess patients\' satisfaction with PE and self-reported depression, respectively. Propensity score matching (PSM) approach was used to reduce selection bias and potential baseline differences between patients with and without chronic conditions. The relationship between satisfaction with PE and depression was assessed, using univariate and multivariate logistic regression analyses, respectively.
UNASSIGNED: A total of 1,974 hospitalized patients participated in the survey. After the PSM procedure, 604 patients were assigned to the chronic condition group, and another 604 patients were successfully matched in the comparison group with no differences in sex, age, educational level, and PE-related characteristics. Univariate logistic regression analysis indicated that high satisfaction with PE-related approaches significantly decreased the probability of developing depressive status. Multivariate logistic regression analysis further indicated that, after adjusting all PE-related approaches, \"patient education\" and \"involvement in discharge planning\" could significantly decrease the probability of patients developing depression.
UNASSIGNED: Our results indicate that encouraging PE and improving patients\' satisfaction with PE interventions in clinical practice led to improved mental health outcomes among hospitalized patients in China.
摘要：
未经证实：抑郁症在住院患者中很常见，对他们的生活质量构成重大威胁。医疗保健中的患者参与（PE）已被证明与积极的健康结果相关。然而,住院患者PE与抑郁的关系,有或没有慢性疾病，尚未探索。本研究旨在调查中国公立医院患者对PE的满意度与自我报告抑郁之间的关系。
未经评估：一个多中心，对广东省7家三级公立医院进行了横断面调查，中国。使用以患者为中心的护理问卷和患者健康问卷2项版本的12项项目来评估患者对PE和自我报告的抑郁的满意度。分别。倾向评分匹配（PSM）方法用于减少有和无慢性病患者之间的选择偏差和潜在的基线差异。评估了对PE的满意度与抑郁之间的关系，使用单变量和多变量逻辑回归分析，分别。
UNASSIGNED：共有1,974名住院患者参加了调查。PSM程序后,604名患者被分配到慢性病组，另外604例患者在比较组中成功匹配，没有性别差异，年龄,教育水平,与PE相关的特征。单因素logistic回归分析表明，对PE相关方法的高满意度显着降低了发生抑郁状态的可能性。多因素Logistic回归分析进一步表明，在调整了所有与PE相关的方法后，“患者教育”和“参与出院计划”可以显着降低患者患抑郁症的可能性。
UNASSIGNED：我们的研究结果表明，在临床实践中鼓励PE和提高患者对PE干预的满意度可以改善中国住院患者的心理健康结果。
未经评估：一个多中心，对广东省7家三级公立医院进行了横断面调查，中国。使用以患者为中心的护理问卷和患者健康问卷2项版本的12项项目来评估患者对PE和自我报告的抑郁的满意度。分别。倾向评分匹配（PSM）方法用于减少有和无慢性病患者之间的选择偏差和潜在的基线差异。评估了对PE的满意度与抑郁之间的关系，使用单变量和多变量逻辑回归分析，分别。
UNASSIGNED：共有1,974名住院患者参加了调查。PSM程序后,604名患者被分配到慢性病组，另外604例患者在比较组中成功匹配，没有性别差异，年龄,教育水平,与PE相关的特征。单因素logistic回归分析表明，对PE相关方法的高满意度显着降低了发生抑郁状态的可能性。多因素Logistic回归分析进一步表明，在调整了所有与PE相关的方法后，“患者教育”和“参与出院计划”可以显着降低患者患抑郁症的可能性。
UNASSIGNED：我们的研究结果表明，在临床实践中鼓励PE和提高患者对PE干预的满意度可以改善中国住院患者的心理健康结果。
