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患者与医疗服务提供者关系对未经控制的糖尿病患者合规性的影响
Victoria Comfort1, Erin N Burns1, Alexis K Grover1
1College of Osteopathic Medicine, William Carey University, Hattiesburg, USA.
Cureus
|June 27, 2025
概括
患者对医疗保健提供者的态度会影响糖尿病管理. 感觉不被尊重或过度参与决策与管理不善的糖尿病相关,这表明沟通细微差别是慢性疾病控制的关键.
科学领域:
- 医学沟通 医学沟通
- 慢性疾病管理 慢性疾病管理
- 糖尿病研究研究 糖尿病研究
背景情况:
- 有效的患者-医疗服务提供者沟通对于管理糖尿病 (DM) 等慢性疾病至关重要.
- 患者对医疗保健提供者的态度可能会影响糖尿病管理和遵守.
- 这项研究比较了管理不良的DM (PM DM) 和没有DM (没有DM) 的个体.
研究的目的:
- 检查患者对医疗保健提供者的态度对糖尿病管理和遵守的影响.
- 为了比较糖尿病管理不良的患者和没有糖尿病的患者之间的这些影响.
- 确定与糖尿病管理结果相关的特定患者-提供者相互作用.
主要方法:
- 分析了来自我们所有人研究计划的数据,包括1903名PM DM患者和94,218名没有DM患者.
- 评估患者对提供者尊重,参与决策和互动舒适度的看法.
- 多变量后勤回归分析以确定PM DM的显著预测因素.
主要成果:
- 感觉被提供者不尊重的患者更有可能患有PM DM (OR = 1.396).
- 在治疗决策中总是询问他们的意见的患者也更有可能患有PM DM (OR = 1.466).
- 那些不紧张地去看医生的患者更有可能患有PM DM (OR = 1.365).
结论:
- 积极的提供者互动并不总是与更好的糖尿病控制相关.
- 需要进一步的研究,以了解沟通风格和共享决策如何影响长期糖尿病治疗的坚持.
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