Satisfaction with pain treatment in older cancer patients: Identifying variants of discrimination, trust, communication, and self-efficacy.
Satisfaction with pain treatment in older cancer patients: Identifying variants of discrimination, trust, communication, and self-efficacy.
复制标题
DOI：
10.1097/njh.0b013e3182a12c24
复制
发表时间：
2013-12
期刊：
影响因子：
--
通讯作者：
Krok JL
中科院分区：
文献类型：
--
作者：
Baker TA;O'Connor ML;Roker R;Krok JL
患者对医疗的满意程度可能影响对医疗方案的依从性和依从性。虽然有许多研究调查了年轻人群的患者满意度，但很少有研究确定社会因素对老年人疼痛治疗满意度的影响。本研究旨在探讨歧视、信任、沟通及其他健康特征对接受综合癌症中心门诊服务的老年人疼痛治疗满意度的影响。研究人员对参与者进行了疼痛症状评估问题调查，并确定了社会（歧视、信任和沟通）、身体（合并症、疼痛干扰）、行为（自我效能感）和人口统计学特征。计算分析以确定信任、沟通和自我效能作为感知歧视-患者对疼痛治疗满意度关系的中介的总效应和间接效应。数据显示沟通与歧视对患者满意度有显著关系。然而，没有一个中介效应是显著的。必须认识到，患者满意度取决于无数的社会因素，这些因素不是排他性的，而是共存的健康决定因素。特别是在老年人中，感知到的歧视和沟通不良的发生率可能对这一成年人口的健康和日常生活经历产生重大影响。
How satisfied a patient is with their medical treatment may influence compliance and adherence to medical regimens. While a number of studies have examined patient satisfaction among younger populations, few have determined the impact social factors have on satisfaction with pain treatment among older adults. This study aimed to determine the influence discrimination, trust, communication, and other health characteristics have on satisfaction with pain treatment among older adults receiving outpatient services from a comprehensive cancer center. Participants were surveyed on questions assessing pain symptomatology, and identified social (discrimination, trust, and communication), physical (comorbidities, pain interference), behavioral (self-efficacy), and demographic characteristics. Analyses were calculated to determine the total and indirect effects of trust, communication, and self-efficacy as mediators on the perceived discrimination-patient satisfaction with pain treatment relationship. Data showed a significant relationship of communication and discrimination on patient satisfaction. However, none of the mediating effects were significant. It must be recognized that patient satisfaction is contingent upon a myriad of social factors that are not exclusive, but rather coexisting determinants of health. Particularly among the elderly, perceived discrimination and incidences of poor communication may be significant influences on health and the lived day-to-day experiences of this adult population.