Inpatients’ Perception of Patient-Centered Care in Guangdong Province, China: A Cross-Sectional Study

Zhou, Ling-Ming; Xu, Yanhua; Chang, Jinghui; Wang, Dong

doi:10.1177/00469580211059482

Cited by 5 publications

(4 citation statements)

References 33 publications

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“…An improved focus on patient rehabilitation after discharge, including home-based exercise and dietary guidance, may also be needed to maximize the benefits of surgery. 41 …”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Quality of Life Before and After Total Knee Arthroplasty: A Multicenter Observational Study

Chang¹,

Fu²,

Cao³

et al. 2022

PPA

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Purpose To compare patients’ self-reported health-related quality of life (HRQoL) before and after total knee arthroplasty (TKA) and determine factors contributing to any heterogeneity in HRQoL. Patients and Methods This prospective multicenter observational study included 404 patients with knee osteoarthritis who underwent TKA between April 1, 2019 and December 30, 2019 and whose HRQoL was assessed preoperatively and 7 days and 1, 3, and 6 months postoperatively. Sociodemographic characteristics were assessed using a General Information Questionnaire, disability using the Knee Injury and Osteoarthritis Outcome Score (KOOS-PS), resting pain using the visual analogue scale (Pain-VAS), and HRQoL using the European Quality of Life Five Dimension Five Level (EQ-5D-5L) scale. The growth mixture model was used to identify group heterogeneity in the developmental trajectories of KOOS-PS, Pain-VAS, and EQ5D5L. Logistic regression was used to explore the factors influencing the developmental trajectories of factors affecting the developmental trajectory of HRQoL. Results The mean EQ-5D-5L score improved from 0.69 preoperatively to 0.90 at 6 months postoperatively. Longitudinal heterogeneity in HRQoL was observed in patients during recovery: 1) patients with a small and slow improvement in HRQoL and 2) patients who showed marked and rapid improvement in HRQoL. The main characteristics of the latter group were decreasing VAS pain scores, a monthly family income >2000 CNY (100 CNY equals approximately 14.9 USD), exercising for <30 min daily, and better knee function at baseline. Baseline knee function and change in knee function were significantly associated with the percentage change in HRQoL. Conclusion HRQoL improved considerably after TKA. However, there was heterogeneity in the changes in HRQoL depending on patients’ socioeconomic status, exercise, and baseline knee function. Dynamic tracking of the HRQoL of TKA patients and timely provision of rehabilitation guidance will promote continuous improvement of the HRQoL of TKA patients.

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“…An improved focus on patient rehabilitation after discharge, including home-based exercise and dietary guidance, may also be needed to maximize the benefits of surgery. 41 …”

Section: Discussionmentioning

confidence: 99%

Patient-Reported Quality of Life Before and After Total Knee Arthroplasty: A Multicenter Observational Study

Chang¹,

Fu²,

Cao³

et al. 2022

PPA

Self Cite

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“…In countries where access to healthcare for all remains out of reach for economic reasons, the application of this approach takes a back seat, as does the validation of its assessment tools. In contrast, in a large part of Europe or in countries such as China or South Korea that have experienced decades of rapid economic development, patients are willing to be involved in their medical treatment and enjoy more satisfying and efficient medical experiences and environments [55], which facilitates the expansion of validations of instruments such as the P-CAT.…”

Section: Discussionmentioning

confidence: 99%

Person-centered care assessment tool with a focus on quality healthcare: a systematic review of psychometric properties

Bru-Luna,

Martí-Vilar,

Merino-Soto

et al. 2024

BMC Psychol

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Background The person-centered care (PCC) approach plays a fundamental role in ensuring quality healthcare. The Person-Centered Care Assessment Tool (P-CAT) is one of the shortest and simplest tools currently available for measuring PCC. The objective of this study was to conduct a systematic review of the evidence in validation studies of the P-CAT, taking the “Standards” as a frame of reference. Methods First, a systematic literature review was conducted following the PRISMA method. Second, a systematic descriptive literature review of validity tests was conducted following the “Standards” framework. The search strategy and information sources were obtained from the Cochrane, Web of Science (WoS), Scopus and PubMed databases. With regard to the eligibility criteria and selection process, a protocol was registered in PROSPERO (CRD42022335866), and articles had to meet criteria for inclusion in the systematic review. Results A total of seven articles were included. Empirical evidence indicates that these validations offer a high number of sources related to test content, internal structure for dimensionality and internal consistency. A moderate number of sources pertain to internal structure in terms of test-retest reliability and the relationship with other variables. There is little evidence of response processes, internal structure in measurement invariance terms, and test consequences. Discussion The various validations of the P-CAT are not framed in a structured, valid, theory-based procedural framework like the “Standards” are. This can affect clinical practice because people’s health may depend on it. The findings of this study show that validation studies continue to focus on the types of validity traditionally studied and overlook interpretation of the scores in terms of their intended use.

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“…Therefore, the physiological QoL can be improved accordingly during postoperative time. In order to maximize the benefits of TKA, rehabilitation training should be carried out as early as possible, and the guidance of functional exercise after discharge should also be prioritized [ 29 ]. In addition, our study showed that the change in mental QoL is less than that in physical QoL.…”

Section: Discussionmentioning

confidence: 99%

The dynamic impact of Joint Awareness on Quality of Life after Total Knee Arthroplasty: a longitudinal study

Zhang

et al. 2022

J Orthop Surg Res

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Background Joint Awareness is thought to be closely linked to Quality of Life (QoL) for patients undergoing Total Knee Arthroplasty (TKA), yet to date there have been no longitudinal studies to explore how Joint Awareness actually affects QoL. The purpose of this study was therefore to examine the development of Joint Awareness and QoL after TKA as well as the dynamic impact of Joint Awareness on QoL. Methods A total of 342 patients were followed up at 3 months (T1), 6 months (T2), and 12 months (T3) after TKA. Joint Awareness was evaluated using the Forgotten Joint Score-12 (FJS-12), and QoL was measured by SF-36. We used repeated measures analysis of variance to estimate the development of Joint Awareness and QoL and employed a cross-lagged model to examine the dynamic relationship between Joint Awareness and QoL. Results Both Joint Awareness and QoL improved with postoperative time (p < 0.001). Importantly, T1 Joint Awareness positively predicted T2 physical QoL (p < 0.001), and T2 Joint Awareness positively predicted T3 physical QoL (p < 0.001). Nevertheless, Joint Awareness had no predictive effect on mental QoL (p = 0.082–0.931). Conclusions In different periods after TKA, Joint Awareness and QoL both increased monotonically, and Joint Awareness positively predicted physical QoL. These findings indicate that focusing on Joint Awareness may be a priority when trying to improve the postoperative life of patients.

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Inpatients’ Perception of Patient-Centered Care in Guangdong Province, China: A Cross-Sectional Study

Cited by 5 publications

References 33 publications

Patient-Reported Quality of Life Before and After Total Knee Arthroplasty: A Multicenter Observational Study

Patient-Reported Quality of Life Before and After Total Knee Arthroplasty: A Multicenter Observational Study

Person-centered care assessment tool with a focus on quality healthcare: a systematic review of psychometric properties

The dynamic impact of Joint Awareness on Quality of Life after Total Knee Arthroplasty: a longitudinal study

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