背景:以人为中心的护理(PCC)与改善患者的幸福感和更高的护理满意度相关,但其对肥胖患者的影响尚不明确。这项研究的主要目的是评估PCC与肥胖患者的身体和社会福祉之间的关系。以及他们对护理的满意度。
方法:本研究基于横截面,基于网络的调查在荷兰肥胖患者的代表小组中进行。主要结果是身体和社会福祉以及对护理的满意度。主要暴露是总体PCC的评级,包括它的八个维度。此外,分析中考虑的协变量包括性别,年龄,婚姻状况,教育水平,BMI,和慢性病。对590名参与者的数据进行了描述性统计分析,相关分析,和多元回归分析。
结果:在PCC维度中,参与者评为“获得护理”最高(M4.1,SD0.6),而“护理协调”(M3.5,SD0.8)的评级低于所有其他维度。参与者的总体PCC评分与他们的身体(r=0.255,P<0.001)和社会幸福感(r=0.289,P<0.001)以及他们对护理的满意度(r=0.788,P<0.001)呈正相关。单独的维度得分也是如此。在控制性行为后,年龄,婚姻状况,教育水平,BMI,回归分析中的慢性病,参与者的总体PCC评分与他们的身体(β=0.24,P<0.001)和社会幸福感(β=0.26,P<0.001)呈正相关,护理满意度(β=0.79,P<0.001)。
结论:PCC有望改善肥胖患者的预后,在身体和社会福祉方面,以及对护理的满意度。这是一个重要的发现,特别是当考虑到深刻的物理,社会,以及与肥胖相关的心理后果。除了强调PCC在肥胖患者医疗保健方面的潜在益处之外,研究结果为进一步完善PCC的提供策略提供了有价值的见解,以满足这些患者的特定需求.
BACKGROUND: Person-centred care (PCC) is associated with improved patient well-being and higher levels of satisfaction with care but its impact on individuals living with obesity is not well-established. The main aim of this study was to assess the relationship between PCC and the physical and social well-being of patients living with obesity, as well as their satisfaction with care.
METHODS: This study is based on a cross-sectional, web-based survey administered among a representative panel of Dutch individuals living with obesity. The primary outcomes were physical and social well-being and satisfaction with care. The primary exposure was a rating of overall PCC, encompassing its eight dimensions. In addition, covariates considered in the analyses included sex, age, marital status, education level, BMI, and chronic illness. The data from a total of 590 participants were analysed using descriptive statistics, correlation analyses, and multiple regression analyses.
RESULTS: Among PCC dimensions, participants rated \'access to care\' the highest (M 4.1, SD 0.6), while \'coordination of care\' (M 3.5, SD 0.8) was rated lower than all other dimensions. Participants\' overall PCC ratings were positively correlated with their physical (r = 0.255, P<0.001) and social well-being (r = 0.289, P<0.001) and their satisfaction with care (r = 0.788, P<0.001), as were the separate dimension scores. After controlling for sex, age, marital status, education level, BMI, and chronic illness in the regression analyses, participants\' overall PCC ratings were positively related to their physical (β = 0.24, P<0.001) and social well-being (β = 0.26, P<0.001), and satisfaction with care (β = 0.79, P<0.001).
CONCLUSIONS: PCC holds promise for improved outcomes among patients living with obesity, both in terms of physical and social well-being, as well as satisfaction with care. This is an important finding, particularly when considering the profound physical, social, and psychological consequences associated with obesity. In addition to highlighting the potential benefits of PCC in the healthcare of individuals living with obesity, the findings offer valuable insights into strategies for further refining the provision of PCC to meet the specific needs of these patients.