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：

---

对2型糖尿病成年人的护理不满与糖尿病自我护理行为，血糖管理和生活质量之间的关联

目的

该研究的目的是检查2型糖尿病患者的患者不满与糖尿病预后之间的关系。

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已验证的问卷。通过询问参与者在过去12个月中对他们从初级保健提供者那里获得的治疗非常不满意的程度，来衡量患者的不满。糖尿病结局包括自我保健行为，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的不满，自我护理，血糖和生活质量之间的关联。

结果

校正协变量后，这项研究表明，患者对不满意程度的增加与不良的一般饮食，较差的血糖水平以及较低的生活质量心理因素得分显着相关。

结论

在2型糖尿病患者中，患者的不满与较高的血糖水平，不良的一般饮食和较低的生活质量密切相关。导致患者不满意的人口统计学因素包括年龄低，收入低和健康素养低。未来的研究应调查如何解决患者满意度以改善健康状况。