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评估多学科协作对接受初级保健的老年患者生活质量的影响:横断面研究

Assessing the Impact of Multidisciplinary Collaboration on Quality of Life in Older Patients Receiving Primary Care: Cross Sectional Study.

作者信息

Albarqi Mohammed Nasser

机构信息

College of Medicine, King Faisal University, Al Hofuf 31982, Saudi Arabia.

出版信息

Healthcare (Basel). 2024 Jun 25;12(13):1258. doi: 10.3390/healthcare12131258.

Abstract

The growing aging population presents unique challenges in maintaining their quality of life (QoL), which encompasses physical, psychological, and social wellbeing. This study aimed to assess the impact of multidisciplinary collaboration on QoL among older patients receiving primary care. A cross-sectional study was conducted involving a purposive sampling of 200 participants aged 60 years and above from Primary Healthcare Centers in Al-Ahsa, Saudi Arabia, between March and May 2024. Data were collected using standardized tools: SF-36 for health-related QoL, Multidisciplinary Collaboration Evaluation Tool (MCET), and Lubben Social Network Scale (LSNS). Multivariate regression analyses were performed to examine the associations between multidisciplinary collaboration, social support, and QoL outcomes. Multidisciplinary collaboration exhibited a significant positive association with improvements in physical functioning (β = 2.35, < 0.001), mental health (β = 3.01, < 0.001), and general health perceptions (β = 2.12, < 0.001). Key drivers of effective collaboration included effective communication (β = 0.48, < 0.001), coordination (β = 0.42, < 0.001), and patient involvement (β = 0.40, < 0.001). Social support, particularly from friends (β = 0.33, < 0.001) and family (β = 0.28, < 0.001), was also a robust predictor of better QoL. Younger age, female gender, married status, and absence of chronic conditions were associated with greater QoL improvements from multidisciplinary care. Multidisciplinary collaboration and social support networks significantly enhance QoL among older primary care patients. Healthcare systems should prioritize developing collaborative care models, fostering interdisciplinary teamwork, and integrating strategies to promote social connectedness for the aging population.

摘要

日益增长的老年人口在维持其生活质量(QoL)方面面临着独特的挑战,生活质量涵盖身体、心理和社会福祉。本研究旨在评估多学科协作对接受初级保健的老年患者生活质量的影响。2024年3月至5月期间,在沙特阿拉伯艾哈萨的初级保健中心进行了一项横断面研究,对200名60岁及以上的参与者进行了目的抽样。使用标准化工具收集数据:用于健康相关生活质量的SF - 36、多学科协作评估工具(MCET)和鲁本社会网络量表(LSNS)。进行多变量回归分析以检验多学科协作、社会支持和生活质量结果之间的关联。多学科协作与身体功能改善(β = 2.35,< 0.001)、心理健康(β = 3.01,< 0.001)和总体健康认知(β = 2.12,< 0.001)呈显著正相关。有效协作的关键驱动因素包括有效沟通(β = 0.48,< 0.001)、协调(β = 0.42,< 0.001)和患者参与(β = 0.40,< 0.001)。社会支持,特别是来自朋友(β = 0.33,< 0.001)和家人(β = 0.28,< 0.001)的支持,也是生活质量改善的有力预测因素。年龄较小、女性、已婚状态以及无慢性病与多学科护理带来的更大生活质量改善相关。多学科协作和社会支持网络显著提高了老年初级保健患者的生活质量。医疗保健系统应优先发展协作护理模式,促进跨学科团队合作,并整合促进老年人口社会联系的策略。

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