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- Title
Determining in-patient diabetes treatment satisfaction in the UK-the DIPSat study.
- Authors
Rutter, C. L.; Jones, C.; Dhatariya, K. K.; James, J.; Irvine, L.; Wilson, E. C. F.; Singh, H.; Walden, E.; Holland, R.; Harvey, I.; Bradley, C.; Sampson, M. J.
- Abstract
Aims To measure in-patient diabetes treatment satisfaction and its relationship to in-patient diabetes care. Methods In a cross-sectional study, diabetes in-patient specialist nurses at 58 UK hospitals asked insulin-treated in-patients with diabetes to complete the recently updated Diabetes Treatment Satisfaction Questionnaire for In-patients and a general questionnaire; 1319 in-patients completed these questionnaires. Results Satisfaction with the general diabetes treatment items in the Diabetes Treatment Satisfaction Questionnaire for In-patients was high, but there were high levels of extreme dissatisfaction with meal choices, meal quality and lack of similarity of hospital meals to normal domestic choices-23% would never or rarely have made similar meal choices at home. Hyperglycaemia or hypoglycaemia was reported for much of the in-patient stay (20% and 7%, respectively) and 26% reported at least one severe hypoglycaemic episode; these groups had lower satisfaction with the timing of medication in relation to meals ( P < 0.003). More frequent in-patient hyperglycaemia or hypoglycaemia were associated with significantly poorer overall satisfaction scores and negative well-being scores (both P < 0.0001). Previous experience of a multiple daily insulin injection regimen was associated with more dissatisfaction than other regimens ( P < 0.01). Multiple regression models explained 36% of variability in overall treatment satisfaction, with most (22.4%) accounted for by satisfaction with time spent with a diabetes in-patient specialist nurse ( P < 0.0001). Self-administration of insulin was independently associated with higher treatment satisfaction ( P < 0.006) in this model. Conclusions The DIPSat programme describes the complex relationships between diabetes in-patient treatment satisfaction and in-patient diabetes care.
- Subjects
TREATMENT of diabetes; PATIENT satisfaction; BLOOD sugar monitoring; HOSPITAL patients; LENGTH of stay in hospitals; INSULIN; MEDICAL care; QUESTIONNAIRES; HEALTH self-care; STATISTICS; U-statistics; DATA analysis; CROSS-sectional method
- Publication
Diabetic Medicine, 2013, Vol 30, Issue 6, p731
- ISSN
0742-3071
- Publication type
Article
- DOI
10.1111/dme.12095