Yimer Solomon, Yohannis Zegeye, Getinet Wondale, Mekonen Tesfa, Fekadu Wubalem, Belete Habte, Menberu Melak, Getnet Asmamaw, Belete Amsalu
Psychiatry Department, College of Health Sciences and Medicine, Dilla University, Dilla.
Amanuel Mental Specialized Hospital, Addis Ababa.
Patient Prefer Adherence. 2016 Sep 19;10:1847-1852. doi: 10.2147/PPA.S115767. eCollection 2016.
The purpose of this study was to assess the level of patient satisfaction and associated factors with psychiatric outpatient services in Ethiopia.
A cross-sectional study was performed from May 2015 to June 2015. A total of 454 participants selected by systematic random sampling were included in this study. Pretested and interviewer-administered questionnaire was used to collect the data. Patient satisfaction was measured using Charleston Psychiatric Outpatient Satisfaction Scale, and other validated tools were used to assess the associated variables. Multivariate logistic regressions with 95% confidence interval (CI) were used to assess the strength, and -value <0.05 was used to indicate significance of association.
A total of 441 respondents were enrolled, with a response rate of 97.1% and magnitude of satisfaction of 61.2%. Being male (adjusted odds ratio [AOR] =0.612, 95% CI: 0.39, 0.94), being widowed (AOR =0.13, 95% CI: 0.05, 0.36), urban residence (AOR =0.49, 95% CI: 0.31, 0.78), diagnosed with schizophrenia (AOR =0.48, 95% CI: 0.28, 0.81), unfavorable attitude (AOR =0.49, 95% CI: 0.28, 0.86), and poor social functioning (AOR =0.52, 95% CI: 0.34, 0.80) were significantly associated with satisfaction.
More than one-third of psychiatric service consumers were dissatisfied with the service they received. Integrating patients to their own treatment plan and regular service evaluation are important to improve satisfaction.
本研究旨在评估埃塞俄比亚精神科门诊服务的患者满意度水平及相关因素。
于2015年5月至2015年6月进行了一项横断面研究。本研究共纳入454名通过系统随机抽样选取的参与者。采用经过预测试且由访谈员实施的问卷收集数据。使用查尔斯顿精神科门诊满意度量表测量患者满意度，并使用其他经过验证的工具评估相关变量。采用95%置信区间（CI）的多因素逻辑回归分析来评估关联强度，P值<0.05表示关联具有统计学意义。
共纳入441名受访者，应答率为97.1%，满意度为61.2%。男性（调整优势比[AOR]=0.612，95%CI：0.39，0.94）、丧偶（AOR=0.13，95%CI：0.05，0.36）、居住在城市（AOR=0.49，95%CI：0.31，0.78）、被诊断为精神分裂症（AOR=0.48，95%CI：0.28，0.81）、态度不佳（AOR=0.49，95%CI：0.28，0.86）以及社会功能差（AOR=0.52，95%CI：0.34，0.80）与满意度显著相关。
超过三分之一的精神科服务消费者对他们所接受的服务不满意。让患者参与自身治疗计划并定期进行服务评估对于提高满意度很重要。
