Abstract：
OBJECTIVE: In the health-care system within hospitals, Taiwanese patients usually play the role of passively cooperating with health-care professionals. Therefore, patients rarely make their own treatment decisions. This study evaluated the level of patient education and patient satisfaction in relation to empowerment level in Taiwan.
METHODS: A cross-sectional survey by a self-administered structured questionnaire was carried out with 618 inpatients from the four hospitals. Statistical analyses were then conducted. Analysis of covariance and post-hoc comparison was used to compare differences between the level of patient empowerment, age, and education as covariates in the model.
RESULTS: This study found that 21.2% and 35.6% of participants were highly empowered and well empowered, respectively. Years of education is a significant covariate in the counselling domain of patient education. Even after controlling for age and education level, the counselling, answer question and justifying action, providing information scores remain significant for all levels after adjusting for the effects of degree of patient empowerment. Patients with higher empowerment also having more-sufficient patient education, indicating a tendency toward higher patient satisfaction. Patient education and counselling practices in Taiwan\'s clinical practice could be improved to enhance patient empowerment and ensure health-care systems are person-centred.
CONCLUSIONS: To move more toward highly patient empowerment, we suggest that health-care professionals advocate a patient-empowerment approach and to provide more counselling related to patients\' illnesses and possible treatments.
METHODS: A cross-sectional survey by a self-administered structured questionnaire was carried out with 618 inpatients from the four hospitals. Statistical analyses were then conducted. Analysis of covariance and post-hoc comparison was used to compare differences between the level of patient empowerment, age, and education as covariates in the model.
RESULTS: This study found that 21.2% and 35.6% of participants were highly empowered and well empowered, respectively. Years of education is a significant covariate in the counselling domain of patient education. Even after controlling for age and education level, the counselling, answer question and justifying action, providing information scores remain significant for all levels after adjusting for the effects of degree of patient empowerment. Patients with higher empowerment also having more-sufficient patient education, indicating a tendency toward higher patient satisfaction. Patient education and counselling practices in Taiwan\'s clinical practice could be improved to enhance patient empowerment and ensure health-care systems are person-centred.
CONCLUSIONS: To move more toward highly patient empowerment, we suggest that health-care professionals advocate a patient-empowerment approach and to provide more counselling related to patients\' illnesses and possible treatments.
摘要：
目标：在医院内的医疗保健系统中，台湾患者通常扮演被动与医疗保健专业人员合作的角色。因此,患者很少自己做治疗决定。这项研究评估了台湾患者教育水平和患者满意度与赋权水平的关系。
方法：对来自四家医院的618名住院患者进行了一项横断面调查。然后进行统计分析。协方差分析和事后比较用于比较患者赋权水平之间的差异，年龄,和教育作为模型中的协变量。
结果：这项研究发现，21.2％和35.6％的参与者获得了高度授权和良好授权，分别。受教育年限是患者教育咨询领域的重要协变量。即使在控制了年龄和教育水平之后，咨询,回答问题并证明行动合理，在调整了患者赋权程度的影响后,提供信息的评分对于所有级别都是显著的.赋权较高的患者也有更充分的患者教育，表明患者满意度更高。可以改善台湾临床实践中的患者教育和咨询实践，以增强患者的能力并确保医疗保健系统以人为本。
结论：为了进一步向高度患者赋权迈进，我们建议卫生保健专业人员倡导患者赋权方法，并提供更多与患者疾病和可能的治疗相关的咨询。
方法：对来自四家医院的618名住院患者进行了一项横断面调查。然后进行统计分析。协方差分析和事后比较用于比较患者赋权水平之间的差异，年龄,和教育作为模型中的协变量。
结果：这项研究发现，21.2％和35.6％的参与者获得了高度授权和良好授权，分别。受教育年限是患者教育咨询领域的重要协变量。即使在控制了年龄和教育水平之后，咨询,回答问题并证明行动合理，在调整了患者赋权程度的影响后,提供信息的评分对于所有级别都是显著的.赋权较高的患者也有更充分的患者教育，表明患者满意度更高。可以改善台湾临床实践中的患者教育和咨询实践，以增强患者的能力并确保医疗保健系统以人为本。
结论：为了进一步向高度患者赋权迈进，我们建议卫生保健专业人员倡导患者赋权方法，并提供更多与患者疾病和可能的治疗相关的咨询。
