頁籤選單縮合
題 名 | 糖尿病患血糖控制的假期效應--醫病關係之影響=Glycemic Control during the Holiday Time in Patients with Diabetes Mellitus: The Impact of the Patient-Physician Relationship |
---|---|
作 者 | 陳秀敏; 李尹暘; 林麗娟; | 書刊名 | 醫務管理期刊 |
卷 期 | 14:1 2013.03[民102.03] |
頁 次 | 頁1-17 |
分類號 | 419.47 |
關鍵詞 | 醫病關係; 信任; 假期效應; 血糖控制; 健康生活品質; Patient-physician relationship; Trust; Holiday effect; Glycemic control; Health-related quality of life; |
語 文 | 中文(Chinese) |
英文摘要 | Objective: The purpose of this study was to examine the impact of patients' trust in physicians on glycemic control.Methods: We conducted a one-year longitudinal analysis of 614 type 2 diabetic patients drawn from three hospitals with different levels of accreditation. Patients' self-administered questionnaires (patients' trust in physicians, satisfaction, and health-related quality of life (HRQoL)) and medical records (hemoglobin A1C) were used for the research. A total of 396 patients completed a 12-month follow-up.Results: Regression analyses revealed that trust was positively related to glycemic control (β= -.13, p < .05), physical HRQoL (β= .14, p < .05), and satisfaction (β= .17, p < .05) at 12 months. Although patients had poorer glycemic control during the Chinese New Year holiday period, the changes in hemoglobin A1C levels among high-trust patients were significantly less than those among low-trust patients (t = -2.12, p < .05).Conclusions: The patient-physician relationship contributed to improvements in glycemic control, physical HRQoL, and satisfaction. For healthcare providers, efforts should be made to cultivate patients' trust in order to improve clinical outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。