Purpose The purpose of the study was to examine the associations between patient dissatisfaction and diabetes outcomes among patients with type 2 diabetes. Methods Primary data from 615 adults with type 2 diabetes from 2 adult primary care clinics completed validated questionnaires. Patient dissatisfaction was measured by asking participants to what degree over the past 12 months were they very dissatisfied with the care they received from their primary care provider. Diabetes outcomes included self-care behaviors, quality of life, and A1C. A1C was abstracted from the medical record. Multiple linear regression models were used to assess associations between patient dissatisfaction, self-care, blood glucose, and quality of life. Results After adjusting for covariates, this study demonstrated that higher patient dissatisfaction was significantly associated with poor general diet, worse blood glucose levels, and lower mental component score for quality of life. Conclusions In patients with type 2 diabetes, patient dissatisfaction had a significant association with higher blood glucose levels, poor general diet, and low quality of life. Demographic factors driving patient dissatisfaction included young age, low income, and low health literacy. Future studies should investigate how to address patient satisfaction in an effort to improve health outcomes.

中文翻译：

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对护理不满意与糖尿病自我护理行为、血糖管理和 2 型糖尿病成人的生活质量之间的关联

目的 本研究的目的是检查 2 型糖尿病患者的患者不满与糖尿病结局之间的关联。方法 来自 2 个成人初级保健诊所的 615 名 2 型糖尿病成人的主要数据完成了经过验证的问卷调查。通过询问参与者在过去 12 个月内对初级保健提供者提供的护理非常不满意的程度来衡量患者的不满意程度。糖尿病结果包括自我保健行为、生活质量和 A1C。A1C 是从病历中提取的。多元线性回归模型用于评估患者不满、自我保健、血糖和生活质量之间的关联。结果 调整协变量后，该研究表明，较高的患者不满意程度与不良的一般饮食、较差的血糖水平和较低的生活质量精神成分评分显着相关。结论 在 2 型糖尿病患者中，患者的不满意与较高的血糖水平、不良的一般饮食和低生活质量显着相关。导致患者不满的人口统计因素包括年轻、低收入和低健康素养。未来的研究应该调查如何解决患者满意度以改善健康结果。和低生活质量。导致患者不满的人口统计因素包括年轻、低收入和低健康素养。未来的研究应该调查如何解决患者满意度以改善健康结果。和低生活质量。导致患者不满的人口统计因素包括年轻、低收入和低健康素养。未来的研究应该调查如何解决患者满意度以改善健康结果。