Predictors of perceived higher quality patient-provider communication in patients with rheumatoid arthritis.
Predictors of perceived higher quality patient-provider communication in patients with rheumatoid arthritis.
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DOI：
10.1002/2327-6924.12109
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发表时间：
2014-12
影响因子：
1.2
通讯作者：
Frazier SK
中科院分区：
文献类型：
--
作者：
Salt E;Rayens MK;Frazier SK
目的：150例类风湿性关节炎（RA）患者的样本参加了一项预测性，描述性，横断面研究，比较了患者谁认为更高质量的沟通与那些谁认为质量较低的上下文因素，并确定了上下文因素的预测能力，为更高质量的患者提供者communication.Data来源：一个有效的，自我报告的规模衡量患者的感知质量的患者提供者的沟通。数据进行了分析，使用卡方检验的协会，两个样本的t-检验，和多元线性regression.Conclusions/practice的影响：有没有在外部环境或内部的个人因素之间的差异，那些谁认为更高和更低的沟通质量。从线性回归来看，受教育年限较少的患者（p=. 008），那些服用更多数量的RA药物（p=. 03），和那些生活在城市地区（p=。04)更积极地看待沟通质量。这项研究的结果表明，背景因素（年的教育，居住，和药物的数量）可能会影响RA患者的感知质量的患者提供者的沟通。这强调了需要制定适当和有效的干预措施，以改善沟通和优化RA患者的结局。
Purpose:A sample of 150 patients with rheumatoid arthritis (RA) participated in a predictive, descriptive, cross-sectional study which compared contextual factors of patients who perceived higher quality communication with those who perceived lower quality, and determined the predictive power of contextual factors for higher quality patient-provider communication.Data sources:A validated, self-report scale measured patient perception of quality of patient-provider communication. Data were analyzed using chi-square tests of association, two-sample t-tests, and multiple linear regression.Conclusions/implications for practice:There were no differences in external environmental or internal personal factors between those who perceived higher and lower quality of communication. From the linear regression, patients with fewer years of education (p=. 008), those taking a greater number of RA medications (p=. 03), and those living in an urban area (p=. 04) perceived the quality of communication more positively. The findings from this study suggest that contextual factors (years of education, residence, and the number of medications) may affect RA patient perception of the quality of patient-provider communication. This underscores the need for development of appropriate and effective interventions to improve communication and optimize RA patient outcomes.