UNASSIGNED: In a repeated measures study design, patients filled out questionnaires 2 to 3 weeks before the start of rehabilitation and at the end of an inpatient rehabilitation 6 to 7 weeks later. The predictive value of illness beliefs, treatment beliefs, and fulfilled treatment expectations regarding patient satisfaction was analyzed with multiple hierarchical regression analyses controlling for sociodemographic and clinical variables.
UNASSIGNED: Two hundred sixty-four patients participated. The sample was composed of equal numbers of men and women (n = 129 each). The mean age was 50.4 years. Most patients had diagnoses from the ICD-10 diagnostic group F3 (affective disorders; n = 145) or F4 (neurotic, stress-related and somatoform disorders; n = 94). Sociodemographic and clinical variables were not associated with patient satisfaction. The explained variance of patient satisfaction increased to 10% by adding illness beliefs (namely personal control and coherence) (p = 0.006), to 5% by adding rehabilitation-related treatment beliefs (namely concerns) (p = 0.063), and to 49% by adding fulfilled expectations (namely a positive discrepancy between expectations and experiences related to outcome expectations and related to participation and treatment structure, and a negative discrepancy between expectations and experiences related to concerns) (p < 0.001) as predictor variables.
UNASSIGNED: This study highlights the relationship of fulfilled (rehabilitation-related) treatment expectations with patient satisfaction in psychosomatic rehabilitation. Given the evidence underlining the importance of patients\' illness and treatment beliefs and expectations, it is vital that these constructs are addressed in corresponding interventions.
未经评估:在重复测量研究设计中,患者在康复开始前2至3周以及住院康复结束后6至7周填写问卷.疾病信念的预测价值,治疗信念,并通过控制社会人口统计学和临床变量的多重层次回归分析,对患者满意度方面的治疗预期进行了分析.
UNASSIGNED:共有二百六十四名患者参加。样本由相同数量的男性和女性组成(每个n=129)。平均年龄为50.4岁。大多数患者的诊断来自ICD-10诊断组F3(情感障碍;n=145)或F4(神经症,应激相关和躯体形式障碍;n=94)。社会人口统计学和临床变量与患者满意度无关。通过增加疾病信念(即个人控制和连贯性),患者满意度的解释方差增加到10%(p=0.006),通过添加与康复相关的治疗信念(即关注)(p=0.063),并通过增加已实现的期望(即与结果期望相关以及与参与和治疗结构相关的期望和经验之间的积极差异,以及与担忧相关的预期和经验之间的负差异)(p<0.001)作为预测变量。
UNASSIGNED:本研究强调了心身康复中满足(康复相关)治疗期望与患者满意度之间的关系。鉴于证据强调了患者疾病和治疗信念和期望的重要性,至关重要的是,这些结构在相应的干预措施中得到解决。