埃及2型糖尿病初级保健患者治疗满意度和医生信任与血糖控制的关系

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2023-08-18 eCollection Date: 2024-01-01 DOI:10.1007/s13340-023-00653-x
Hazem A Sayed Ahmed, Nada Emad Abdelsalam, Anwar I Joudeh, Ahmed Gharib Abdelrahman, Nahed Amen Eldahshan
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引用次数: 0

摘要

目的评估基层医疗机构 2 型糖尿病患者的糖尿病治疗满意度和对家庭医生的信任度与血糖控制的关系:方法:横断面研究,对象为来自埃及五个初级保健中心的 319 名 2 型糖尿病患者。数据收集时间为 2021 年 2 月至 8 月,采用的结构化问卷包含六个部分:社会人口学数据、疾病概况、糖尿病治疗满意度问卷 (DTSQ)、8 项莫里斯基用药依从性量表 (MMAS-8)、自我报告用药知识问卷 (MKQ) 和修订版医护关系信任量表 (HCR)。多元线性回归分析用于评估治疗满意度、医生信任度和 HbA1c 水平的预测因素。P值小于0.05为显著:平均年龄为 59.66 岁(± 7.87 岁),55.17% 为女性。预测 HbA1c 的多元线性回归分析表明,治疗满意度得分越高的患者 HbA1c 水平越低(β = - 0.289,P 结论:治疗满意度得分越高的患者 HbA1c 水平越低:优化糖尿病治疗满意度和医生信任度可与用药依从性和用药知识产生有利关联,从而改善血糖控制。家庭医生在评估初级保健中的糖尿病管理时,应将患者报告的结果与传统的临床措施结合起来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association of treatment satisfaction and physician trust with glycemic control among primary care patients with type 2 diabetes in Egypt.

Objectives: To evaluate the association of diabetes treatment satisfaction and trust in family physicians with glycemic control among primary care patients with type 2 diabetes mellitus.

Methods: A cross-sectional study on 319 patients with type 2 diabetes mellitus from five primary healthcare centers in Egypt. Data were collected from February to August 2021 using a structured questionnaire that contained six parts: sociodemographic data, disease profile, the Diabetes Treatment Satisfaction Questionnaire (DTSQ), 8-item Morisky Medication Adherence Scale (MMAS-8), self-reported medication knowledge questionnaire (MKQ), and revised healthcare relationship trust scale (HCR). Multiple linear regression analysis was used to assess predictors of treatment satisfaction, physician trust, and HbA1c level. P values less than 0.05 were considered significant.

Results: The mean age was 59.66 years (± 7.87 years) and 55.17% were females. Multiple linear regression analysis for predicting HbA1c showed that HbA1c level was lower in patients with higher treatment satisfaction scores (β =  - 0.289, p < 0.001) and higher medication adherence scores (β =  - 0.198, p = 0.001). Treatment satisfaction scores were positively predicted by higher physician trust scores (β = 0.301, p < 0.001), increased medication adherence scores (β = 0.160, p = 0.002), and longer duration of diabetes (β = 0.226, p < 0.001). Positive predictors for physician trust included HbA1c level (β = 0.141, p = 0.012), medication knowledge (β = 0.280, p < 0.001), diabetes treatment satisfaction (β = 0.366, p < 0.001) and medication adherence (β = 0.146, p = 0.011).

Conclusion: Optimizing diabetes treatment satisfaction and physician trust could have favorable associations with medication adherence and medication knowledge with a possible improvement in glycemic control. Family physicians should incorporate patients reported outcomes alongside traditional clinical measures in evaluating diabetes management in primary care.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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