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

陳秀敏(Hsiu-Min Chen) ； 李尹暘(Yin-Yang Lee) ； 林麗娟(Julia L. Lin)

《醫務管理期刊》 14卷1期 (2013/03) Pp. 1-17

https://doi.org/10.6174/JHM2013.14(1).1

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.

關鍵字

醫病關係 ； 信任 ； 假期效應 ； 血糖控制 ； 健康生活品質

並列摘要

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.

並列關鍵字

patient-physician relationship ； trust ； holiday effect ； glycemic control ； health-related quality of life

參考文獻

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