| 其他摘要 | In recent years, with the continuous growth of aging in China, the country has gradually increased its attention to vulnerable groups such as the disabled. The development of the rehabilitation medical system is also increasingly improving. Simultaneously, enhancing patient recovery through rehabilitation training has gained attention from various sectors. One of the most crucial variables affecting patient recovery is their expectations. However, most previous studies on patient expectations in seeking medical treatment encompassed all patient groups, with few focusing on the unique group of recovering patients. More importantly, past research on how patient expectations affect treatment outcomes centered on expectations during treatment. These expectations, however, are dynamic and can be influenced by numerous factors. Even when their effect on treatment outcomes is determined, it is challenging to intervene to improve the results.Thus, this paper focuses on rehabilitation patients undergoing functional training and investigates their initial expectations before rehabilitation treatment through two studies. It explores how these initial expectations affect rehabilitation participation and reveals the mediating effect of patient satisfaction. This insight will assist in implementing simple and effective methods to intervene in the relatively static initial expectation value to improve the therapeutic effect for follow-up rehabilitation therapy practices.
In Study 1, we conducted a cross-sectional survey amongst 159 patients who were undergoing rehabilitation treatment across regions like Beijing, Heilongjiang, Shandong, Liaoning, Henan, Hebei, Shanxi, and Guangdong. The preliminary expectations of rehabilitation patients were categorized into three dimensions: initial values for relationship expectations, process expectations, and result expectations - each of which impacted patient satisfaction and level of participation.Our findings indicated that there was a clear positive correlation between the initial values for relationship expectations, process expectations, and outcome expectations and the levels of patient engagement and satisfaction under simple correlation. However, when we analyzed their collective effects on patient satisfaction and engagement using the structural equation model, we noticed that only the initial value of relationship expectations significantly impacted patient engagement through patient satisfaction. In fact, patient satisfaction fully mediated the influence of the initial relationship expectation value on patient engagement. As for the initial expected values of process and outcome, there was no significant path to patient satisfaction and rehabilitation participation.
In Study 2, we further utilized a time-division questionnaire survey to sample 59 patients who were undergoing rehabilitation treatment in regions such as Beijing, Harbin, Shenyang, Huludao, Zhengzhou, Inner Mongolia, and Jinan. Initial expectations concerning relationships, the process, and the outcomes were measured prior to the patients’ arrival at the hospital for rehabilitation treatment. Data concerning patient satisfaction and engagement were then collected following a period of treatment, to enable a more precise revelation of the impact of initial expectations over time.The results from Study 2 echoed the conclusions drawn from Study 1. Under a simple correlation, the initial values for the relationship, process, and outcome expectations showed a significant positive correlation with patient engagement and satisfaction. However, when factoring in the impact of initial expectations on patient satisfaction and engagement, it was found that only the initial value of relationship expectation had a significant marginal mediating effect on patient satisfaction. There was no significant pathway from the initial values of process and outcome expectations to patient satisfaction and rehabilitation participation.
In summary, the two-tiered studies conducted in this paper shed light on the influence of initial expectations in rehabilitation patients on their participation in treatment, as well as demonstrating the mediating mechanism of patient satisfaction. These findings offer empirical support for implementing more convenient and practical intervention methods to guide patients’ initial expectations in the clinical practice of rehabilitation therapy. Such approaches have the potential to enhance patients’ rehabilitation outcomes and mitigate conflicts within the rehabilitation healthcare system between doctors and patients. |
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