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.
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。