瑞士更年期泌尿生殖系统综合征患者的妇科护理是如何以患者为中心的？以病人为中心的护理实施情况调查

IF 3.6 2区医学 Q2 GERIATRICS & GERONTOLOGY

Maturitas Pub Date : 2025-03-03 DOI:10.1016/j.maturitas.2025.108231

Theresa Donhauser , Ebru Özkan , Isabell Gulde , Michaela Gabes , Margarinta-Meda Munshi , Christian Apfelbacher , Petra Stute

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引用次数: 0

摘要

目的本研究评估以患者为中心的护理在绝经期泌尿生殖系统综合征患者中的实施程度。研究设计：开展了一项在线调查，内容包括以患者为中心的护理和更年期泌尿生殖系统综合征的知识介绍和项目，纳入标准，传记资料，以患者为中心的护理的实施，治疗患者的能力和障碍，更年期泌尿生殖系统综合征的治疗方案和感知益处。以病人为中心的护理的具体维度和德国版的病人-医生取向量表（poss - d12）。这项调查是对瑞士的妇科医生进行的。主要结果测量：平均PPOS-D12得分与职业经验年数和年龄相关。对poss - d12评分进行事后回归分析，预测变量包括年龄、专业经验年数、专业设置和确保以患者为中心的护理策略。结果共有220名妇科医生参与调查，平均年龄50.64岁（SD = 9.50，范围33 ~ 80岁）。PPOS-D12的平均得分为4.49 (SD = 0.55)，该得分与参与者的年龄呈负相关(Spearman’s rs = - 0.222, p <；措施)。职业经验年数与PPOS-D12评分无相关性（Spearman’s rs = - 0.018, p = .792）。回归分析达到显著性（F(4,205) = 3.826, p = 0.005, R2 = 0.069，调整后R2 = 0.051），但只有年龄与PPOS-D12评分有显著相关性(β = 0.035, p <；措施)。本调查概述了瑞士妇科医生以患者为中心的情况，显示了可能存在的障碍（如患者依从性），并提出了解决方案（如增加每位患者的资源），以使常规护理更加以患者为中心。

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How patient-centered is the gynecological care provided for patients with genitourinary syndrome of menopause in Switzerland? A survey on the implementation of patient-centered care

Objectives

This study assessed the extent to which patient-centered care has been implemented in patients with genitourinary syndrome of menopause.

Study design

An online survey was developed consisting of an introduction and items covering knowledge about patient-centered care and genitourinary syndrome of menopause, inclusion criteria, biographical data, implementation of patient-centered care, competence and barriers in treating patients, treatment options in genitourinary syndrome of menopause and perceived benefit, specific dimensions of patient-centered care and the German version of the Patient-Practitioner Orientation Scale (PPOS-D12). The survey was administered to gynecologists in Switzerland.

Main outcome measures

Mean PPOS-D12 scores were correlated with years of professional experience and age. A post-hoc regression analysis was calculated for the PPOS-D12 score with the predicting variables age, years of professional experience, professional setting, and strategies for ensuring patient-centered care.

Results

In total, 220 gynecologists with a mean age of 50.64 years (SD = 9.50, range: 33–80 years) took part in the survey. Mean score on the PPOS-D12 was 4.49 (SD = 0.55) and this score was negatively correlated with the age of participants (Spearman's r_s = −0.222, p < .001). Years of professional experience did not correlate with the PPOS-D12 score (Spearman's r_s = −0.018, p = .792). The regression analysis reached significance (F(4, 205) = 3.826, p = .005, R² = 0.069, adjusted R² = 0.051), but only age had a significant association with the PPOS-D12 score (β = 0.035, p < .001).

Conclusions

This survey provides an overview of the patient-centeredness of gynecologists in Switzerland, shows possible obstacles (e.g. patient compliance) and proposes solutions (e.g. more resources per patient) for making routine care more patient-centered.

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来源期刊

Maturitas 医学-妇产科学

CiteScore

9.10

自引率

2.00%

发文量

142

审稿时长

40 days

期刊介绍： Maturitas is an international multidisciplinary peer reviewed scientific journal of midlife health and beyond publishing original research, reviews, consensus statements and guidelines, and mini-reviews. The journal provides a forum for all aspects of postreproductive health in both genders ranging from basic science to health and social care. Topic areas include:• Aging• Alternative and Complementary medicines• Arthritis and Bone Health• Cancer• Cardiovascular Health• Cognitive and Physical Functioning• Epidemiology, health and social care• Gynecology/ Reproductive Endocrinology• Nutrition/ Obesity Diabetes/ Metabolic Syndrome• Menopause, Ovarian Aging• Mental Health• Pharmacology• Sexuality• Quality of Life