"患者中心の"自己効能と慢性疾患管理:医師の意図と治療の有効性との関連
Chi Zhou1, Kaixiao Qu2, Xiaoling Lin1
1Hangzhou Normal University, China.
まとめ
中国では 慢性疾患の効果的な管理に 患者中心の自己効能が 高いことが示されています この自己効能を高めることで 患者の満足度や医療の質をさらに向上させることができます
科学分野:
- 医療サービス研究
- 医学教育
- 公衆衛生
背景:
- 慢性疾患の管理において 患者の満足と従順性には 患者中心の自己効能が不可欠です
- 医師の患者中心の自己効能を理解することは 中国の郡内医療連合の医療提供を最適化するために不可欠です
研究 の 目的:
- 患者中心の自己効率性を評価するためです
- 慢性疾患の管理における医師の患者中心の自己効能と医師の意図と認知された治療効果の関連性を調査する.
主な方法:
- 中国 の 江 省 の 539 人 の 医師 の 中 で 横断 面 の 調査 が 行なわ れ まし た.
- 患者中心の自己有効性アンケート (SEPCQ) を用いて医師の自己有効性を測定した.
- 統計分析では,SEPCQスコア,収入,地域,慢性疾患管理の結果との関連が調査されました.
主要な成果:
- 医師は,患者中心の全体的な自己有効性 (88. 28 ± 17. 61) を報告した.
- コミュニケーションの課題を扱うことが 最も高く 情報の共有とパワーの共有は 最も低い点でした
- 高いSEPCQスコアは収入の上昇 (5001~7000人民元) と東南地域の居住と相関しています.
- すべてのSEPCQ領域は,医師の意図,治療能力の認識,および慢性疾患の管理における有効性との関連がありました.
結論:
- 慢性疾患の管理の鍵となる 患者中心の自己効力感を示しています
- 医師の自己効能をさらに高めることを目的とした介入は,郡内医療連合のケアを最適化するために推奨されます.
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