Unit for Social and Community Psychiatry, Queen Mary University of London, Newham Centre for Mental Health, Glen Rd., London E138SP, United Kingdom.
Psychiatr Serv. 2010 Mar;61(3):286-92. doi: 10.1176/ps.2010.61.3.286.
This study aimed to assess involuntary inpatients' satisfaction with treatment and explore how coercion and other factors are associated with satisfaction.
An observational prospective study was conducted in 67 acute wards in 22 hospitals in England. A total of 778 involuntary inpatients were recruited, and their satisfaction with treatment was assessed a week after admission and at the one-month, three-month, and one-year follow-ups. Perceived and documented coercion at admission and during hospital treatment, sociodemographic and clinical characteristics, and clinical improvement were tested as potential predictors of satisfaction.
Mean scores on the Client's Assessment of Treatment Scale measuring satisfaction with treatment ranged from 5.5 to 6.0 (on a scale with possible scores ranging from 0 to 10) at different time points and improved significantly from admission to the follow-ups. Patients who perceived less coercion at admission and during hospital treatment were more satisfied overall, whereas coercive measures documented in the medical records were not linked to satisfaction. Patients with more symptom improvement expressed higher levels of treatment satisfaction.
Satisfaction with treatment among involuntary patients was associated with perceptions of coercion during admission and treatment, rather than with the documented extent of coercive measures. Interventions to reduce patients' perceived coercion might increase overall treatment satisfaction.
本研究旨在评估非自愿住院患者对治疗的满意度，并探讨强制治疗和其他因素与满意度的关系。
在英格兰 22 家医院的 67 个急症病房进行了一项观察性前瞻性研究。共招募了 778 名非自愿住院患者，在入院后一周、一个月、三个月和一年进行随访时评估他们对治疗的满意度。入院时和住院期间的感知和记录的强制治疗、社会人口学和临床特征以及临床改善被视为满意度的潜在预测因素。
不同时间点的治疗满意度评估量表（Client's Assessment of Treatment Scale）的平均得分范围为 5.5 至 6.0（得分范围为 0 至 10），且从入院到随访时显著提高。入院时和住院期间感知到较少强制治疗的患者总体上更满意，而病历中记录的强制治疗措施与满意度无关。症状改善更多的患者表达了更高水平的治疗满意度。
非自愿住院患者的治疗满意度与入院和治疗期间的强制治疗感知有关，而与记录的强制治疗措施的程度无关。减少患者感知到的强制治疗的干预措施可能会提高整体治疗满意度。
