Shaar Menashe Mental Health Center, Hadera, Israel.
Aix-Marseille Univ, EA 3279 - Public Health, Chronic Diseases and Quality of Life - Research Unit, Marseille, France.
Psychiatry Res. 2018 Dec;270:503-509. doi: 10.1016/j.psychres.2018.10.027. Epub 2018 Oct 10.
Patients' perception of psychiatric healthcare is a critical indicator in measuring service quality. The aim of the study was to determine patient's level of satisfaction with the quality of health care delivered at the inpatient departments, and to identify the service quality factors that were important to patients.
The Satisfaction with Psychiatry Care Questionnaire-22 was administered to 125 consecutive inpatients with schizophrenia or schizoaffective disorder in a stable condition. Sociodemographic and background variables, illness and symptom severity, insight, social anhedonia, self-esteem, perceived social support, and satisfaction with quality of life were collected.
Although the participants generally expressed satisfaction with the inpatient services, they indicated that the weakest aspects of the service were in the domains of 'personal experience', 'information' and 'activity'. Women were significantly more dissatisfied than men with 'staff', 'care', and by general satisfaction. Multiple regression analysis revealed that satisfaction with hospital health care was associated with five indicators: insight, satisfaction with physical health, self-efficacy, family support, and social anhedonia.
Personality related factors rather than psychopathological symptoms were associated with a satisfaction with care of admitted patients with severe mental illness. These factors could be targets for interventions aimed to improve treatment and hospital services.
患者对精神卫生保健的看法是衡量服务质量的一个重要指标。本研究旨在确定患者对住院部门提供的医疗保健质量的满意度水平，并确定对患者重要的服务质量因素。
对 125 例处于稳定状态的精神分裂症或分裂情感障碍住院患者进行了精神病护理满意度问卷-22 的评估。收集了社会人口统计学和背景变量、疾病和症状严重程度、洞察力、社交快感缺失、自尊、感知社会支持以及生活质量满意度。
尽管参与者普遍对住院服务表示满意，但他们表示服务中最弱的方面是在“个人体验”、“信息”和“活动”领域。女性对“工作人员”、“护理”和总体满意度的不满程度明显高于男性。多元回归分析显示，对医院医疗保健的满意度与五个指标相关：洞察力、对身体健康的满意度、自我效能、家庭支持和社交快感缺失。
与入院严重精神疾病患者的护理满意度相关的是人格相关因素，而不是精神病理症状。这些因素可能是旨在改善治疗和医院服务的干预措施的目标。
