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Patient centred care in infertility health care: Direct and indirect associations with wellbeing during treatment

机译：不孕不育医疗中以患者为中心的护理：治疗期间直接和间接与幸福感相关

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Objective: To investigate whether different dimensions of patient centred care (PCC) were directly associated with wellbeing or indirectly, via lower concerns about medical procedures and/or increased tolerability of treatment. Methods: Cross-sectional study with 322 women and 111 men undergoing fertility diagnosis or treatment recruited online and in clinical setting. Participants completed questionnaires that assess PCC (PCQ-Infertility), individual (BSI Anxiety and Depression subscales) and relational wellbeing (FertiQoL Relational Domain), treatment concerns (CART Procedural Concerns scale) and tolerability (FertiQoL Tolerability Domain) and they filled a socio-demographic and fertility data file. Results: All dimensions of PCC were positively associated with better wellbeing except for organization of care. Information provision and continuity of care were indirectly associated with better individual wellbeing, the first via lower treatment concerns and the second via higher treatment tolerability. Competence, accessibility, continuity and communication were indirectly associated with better relational wellbeing via higher treatment tolerability. Conclusions: Patient centred care promotes wellbeing during treatment. PCC is directly associated to wellbeing but also indirectly. The mode of action of the different PCC dimensions on wellbeing varies. Practical implications: To promote patients' wellbeing during treatment clinics should provide treatment related information and allow patients to establish a stable clinical relationship with a trustworthy and competent physician.
机译：目的：通过降低对医疗程序的关注和/或提高治疗的耐受性，研究以患者为中心的护理（PCC）的不同维度是直接与福祉还是间接与福祉相关。方法：横断面研究在线招募并在临床中招募了322名接受生育力诊断或治疗的女性和111名男性。参与者完成了问卷调查，评估了PCC（不育症PCQ），个人（BSI焦虑和抑郁量表）和关系幸福感（FertiQoL关系域），治疗问题（CART程序关注量表）和耐受性（FertiQoL耐受性领域），并填写了社会人口统计和生育数据文件。结果：PCC的各个方面都与更好的健康状况呈正相关，除了组织护理方面。信息的提供和护理的连续性与个人健康水平的提高间接相关，首先是通过降低对治疗的关注，其次是通过更高的治疗耐受性。通过更高的治疗耐受性，能力，可及性，连续性和沟通能力与更好的关系幸福感间接相关。结论：以患者为中心的护理可促进治疗期间的健康。 PCC与幸福直接相关，但也间接相关。不同PCC维度对幸福的作用方式各不相同。实际意义：为了在治疗期间增进患者的健康，诊所应提供与治疗有关的信息，并允许患者与可信赖且称职的医师建立稳定的临床关系。

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