Reference : Impact of Patients’ Communication with the Medical Practitioners, on Their Adherence ...
Scientific journals : Article
Social & behavioral sciences, psychology : Sociology & social sciences
Human health sciences : Public health, health care sciences & services
Sustainable Development
http://hdl.handle.net/10993/28182
Impact of Patients’ Communication with the Medical Practitioners, on Their Adherence Declared to Preventive Behaviours, Five Years after a Coronary Angiography, in Luxembourg
English
Baumann, Michèle mailto [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
Tchicaya, Anastase [Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, Luxembourg]
Lorentz, Nathalie [Luxembourg Institute of Socio-Economic Research (LISER), Esch-sur-Alzette, Luxembourg]
Le Bihan, Etienne [University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE) >]
2016
PLoS ONE
Public Library of Science
11
6
e0157321
Yes (verified by ORBilu)
International
1932-6203
San Franscisco
CA
[en] Doctor-patient ; therapeutic communication ; adherence secondary preventive
[en] Patients of the National Institute of Cardiac Surgery and Interventional Cardiology in Luxembourg
who underwent coronary angiography were surveyed for hypertension, hypercholesterolemia,
diabetes and overweight/obesity between 2008/9 and 2013/4. For each cardiovascular risk factor (CVRFs), we analysed the associations between the quality of the patients' communication with the medical practitioner and their adherence declared to preventive behaviours.
Methods
1,289 completed a self-administered questionnaire on communication with the medical practitioner (P’Com-5 items scale; Cronbach 0.87). 61.8%stopped smoking, 57.9% reduced or stopped their consumption of salt, 71.9% of fat, and 62.8%of sugar, and whereas 65% increased their consumption of fruit and vegetables and 19.8% increased their physical activity. Around 37% reported having made changes following their doctor's advice. 90% were followed by a cardiologist and 95.9% by an attending physician.
Results
No link was observed between declaration of physical activity, smoking, fats, and quality of communication. Significant associations: for increased consumption of fruit and vegetables was linked with the quality of doctor-patient communication when patients were overweight (OR = 1.081), obese (OR = 1.130), hypercholesterolemic (OR = 1.102), hypertensive (OR = 1.084) or diabetic (OR = 1.103). Reduction in salt intake was linked only to patients with hypertension (OR = 1.102), whereas reduction or cessation of sugar consumption was linked to overweight (OR = 1.093), and more so obese, (OR = 1.106), hypercholesterolemics (OR = 1.103) and diabetics (OR = 1.173).
Conclusions
Good doctor-patient communication was related to nutrition, particularly increased consumption
of fresh fruits and vegetables. Accurate perception of CVRFs by both patients and medical practitioners is essential for CV protection. The aim of instructing patients is to encourage them to make informed decisions about how to change their lifestyle. In routinely, P’Com-5 scale can collect data to assess the improvement of the professional skills. It can be used in medical training to enhance the quality of the therapeutic communication, especially for nutritional coaching, and to evaluate its efficacy in reducing CVRFs.
Integrative Research Unit: Social and Individual Development (INSIDE) > Institute for Health and Behaviour
University of Luxembourg - UL
Researchers ; Professionals ; Students ; General public
http://hdl.handle.net/10993/28182
10.1371/journal.pone.0157321

File(s) associated to this reference

Fulltext file(s):

FileCommentaryVersionSizeAccess
Open access
Baumann et al. juin 2016 PLOS One journal.pone.0157321.PDFPublisher postprint173.36 kBView/Open

Bookmark and Share SFX Query

All documents in ORBilu are protected by a user license.