de Labrouhe D, Plancke L, Amad A, Charrel C-L, Touitou D, Bodon-Bruzel M, Thomas P, Fovet T
Université Paris XI, UHSA Paul-Verlaine, groupe hospitalier Paul-Guiraud, 94800 Villejuif, France.
Fédération régionale de recherche en psychiatrie et santé mentale des Hauts-de-France, 59000 Lille, France.
Rev Epidemiol Sante Publique. 2017 Aug;65(4):285-294. doi: 10.1016/j.respe.2017.03.129. Epub 2017 May 3.
In France, special full-time inpatient hospital units (UHSA) have been created for inmates with psychiatric disorders. Since they were established in 2010, the quality of care in such units has not been studied. Particularly, no patient satisfaction survey has been conducted yet. The main objective of this study was to assess the patients' satisfaction about their hospitalization in UHSA.
A descriptive study has been performed in two hospitals (UHSA of Villejuif and UHSA of Lille-Seclin). From February to May 2015, 125 adult patients were included, at the end of their hospitalization (voluntary or involuntary psychiatric care) in UHSA. The patient's satisfaction was assessed by a psychiatrist who did not participate in patient care with a 16-item scale exploring three areas (quality of care, quality of information provided and UHSA functioning and organization). The items were evaluated with a visual numeric scale (1 to 10).
The average score of overall satisfaction was 7.3±1.9 (average±standard deviation) for this sample. For the care area, the average score was 7.6±2; for the quality of information provided, it was 7.5±2.5 and for UHSA functioning and organization, 7.0±2. Furthermore, 84.8 % of patients reported their wish to continue psychiatric care in prison and 77.6 % after release.
This study demonstrates that patients hospitalized in UHSA are satisfied. Given the relationship between patient satisfaction and compliance, these structures could therefore have an important medical interest for inmates with psychiatric disorders. However, these results need to be replicated in a study involving all the UHSA of France.
在法国，已为患有精神疾病的囚犯设立了特殊的全日制住院医院病房（UHSA）。自2010年设立以来，此类病房的护理质量尚未得到研究。特别是，尚未进行过患者满意度调查。本研究的主要目的是评估患者对其在UHSA住院治疗的满意度。
在两家医院（维勒瑞夫的UHSA和里尔 - 塞克兰的UHSA）进行了一项描述性研究。2015年2月至5月，纳入了125名成年患者，他们在UHSA住院治疗结束时（自愿或非自愿精神科护理）。由一名未参与患者护理的精神科医生使用一个16项量表评估患者满意度，该量表探索三个领域（护理质量、提供的信息质量以及UHSA的运作和组织）。这些项目用视觉数字量表（1至10）进行评估。
该样本的总体满意度平均得分为7.3±1.9（平均值±标准差）。在护理领域，平均得分为7.6±2；在提供的信息质量方面，为7.5±2.5；在UHSA的运作和组织方面，为7.0±2。此外，84.8%的患者表示希望在监狱继续接受精神科护理，77.6%的患者希望在获释后继续。
本研究表明，在UHSA住院的患者感到满意。鉴于患者满意度与依从性之间的关系，因此这些机构对于患有精神疾病的囚犯可能具有重要的医学意义。然而，这些结果需要在一项涉及法国所有UHSA的研究中进行重复验证。
