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Abstract：
BACKGROUND: Hidradenitis suppurativa (HS) is a chronic inflammatory dermatosis with a vast psychosocial burden. We analyzed the actual and ideal patient-doctor relationship and patients\' satisfaction with the patient-doctor relationship in relation to their satisfaction with life (SWL), HS-related quality of life, and psychopathological symptoms.
METHODS: 105 HS patients (53% females; mean age 37.64 ± 14.01 years) were enrolled. Severity of the disease was measured using Hurley staging and the International HS Score System (IHS4). Instruments utilized: Patient Expectation Test; Satisfaction with Life Scale; HS Quality of Life; Patient Health Questionnaire-9; Generalized Anxiety Disorder-7; General Health Questionnaire.
RESULTS: Patients with Hurley I and mild IHS4 had the lowest satisfaction with the patient-doctor relationship. There were significant correlations between the actual patient-doctor relationship and the patients\' SWL (r = 0.30; p = 0.002), depressive (r = -0.36; p < 0.01), anxiety (r = 0.37; p < 0.01) and psychopathological symptoms (r = -0.47; p < 0.0001) and between the satisfaction with the patient-doctor relationship and their SWL (r = -0.32; p = 0.00098). Multiple regression analysis revealed a significant influence of the following factors: Hurley II + III, psychopathological symptoms, and severe anxiety about the actual patient-doctor relationship and the satisfaction with the patient-doctor relationship.
CONCLUSIONS: Assessment of relations between patients and doctors is related to the patients\' mental health and SWL. The usage of the Patient Expectation Test in clinical practice can improve the patient-doctor relationship and the general quality of care for and compliance by HS patients.
METHODS: 105 HS patients (53% females; mean age 37.64 ± 14.01 years) were enrolled. Severity of the disease was measured using Hurley staging and the International HS Score System (IHS4). Instruments utilized: Patient Expectation Test; Satisfaction with Life Scale; HS Quality of Life; Patient Health Questionnaire-9; Generalized Anxiety Disorder-7; General Health Questionnaire.
RESULTS: Patients with Hurley I and mild IHS4 had the lowest satisfaction with the patient-doctor relationship. There were significant correlations between the actual patient-doctor relationship and the patients\' SWL (r = 0.30; p = 0.002), depressive (r = -0.36; p < 0.01), anxiety (r = 0.37; p < 0.01) and psychopathological symptoms (r = -0.47; p < 0.0001) and between the satisfaction with the patient-doctor relationship and their SWL (r = -0.32; p = 0.00098). Multiple regression analysis revealed a significant influence of the following factors: Hurley II + III, psychopathological symptoms, and severe anxiety about the actual patient-doctor relationship and the satisfaction with the patient-doctor relationship.
CONCLUSIONS: Assessment of relations between patients and doctors is related to the patients\' mental health and SWL. The usage of the Patient Expectation Test in clinical practice can improve the patient-doctor relationship and the general quality of care for and compliance by HS patients.
摘要：
背景：化脓性汗腺炎（HS）是一种慢性炎症性皮肤病，具有巨大的社会心理负担。我们分析了实际和理想的医患关系以及患者对医患关系的满意度与他们对生活的满意度（SWL）的关系，与HS相关的生活质量，和精神病理学症状。
方法：纳入105例HS患者（53%为女性，平均年龄37.64±14.01岁）。使用Hurley分期和国际HS评分系统（IHS4）测量疾病的严重程度。使用的仪器：患者期望测试；对生活量表的满意度；HS生活质量；患者健康问卷-9；广义焦虑症-7；一般健康问卷。
结果：HurleyI和轻度IHS4患者对医患关系的满意度最低。实际医患关系与患者SWL之间存在显着相关性（r=0.30；p=0.002），抑郁（r=-0.36；p<0.01），焦虑（r=0.37;p<0.01）和精神病理症状（r=-0.47;p<0.0001）以及对医患关系的满意度与其SWL之间（r=-0.32;p=0.00098）。多元回归分析显示以下因素有显著影响：HurleyII+III，精神病理学症状,以及对实际医患关系的严重焦虑和对医患关系的满意度。
结论：患者与医生之间关系的评估与患者的心理健康和SWL有关。在临床实践中使用患者期望测试可以改善患者与医生的关系以及HS患者的一般护理质量和依从性。
方法：纳入105例HS患者（53%为女性，平均年龄37.64±14.01岁）。使用Hurley分期和国际HS评分系统（IHS4）测量疾病的严重程度。使用的仪器：患者期望测试；对生活量表的满意度；HS生活质量；患者健康问卷-9；广义焦虑症-7；一般健康问卷。
结果：HurleyI和轻度IHS4患者对医患关系的满意度最低。实际医患关系与患者SWL之间存在显着相关性（r=0.30；p=0.002），抑郁（r=-0.36；p<0.01），焦虑（r=0.37;p<0.01）和精神病理症状（r=-0.47;p<0.0001）以及对医患关系的满意度与其SWL之间（r=-0.32;p=0.00098）。多元回归分析显示以下因素有显著影响：HurleyII+III，精神病理学症状,以及对实际医患关系的严重焦虑和对医患关系的满意度。
结论：患者与医生之间关系的评估与患者的心理健康和SWL有关。在临床实践中使用患者期望测试可以改善患者与医生的关系以及HS患者的一般护理质量和依从性。
