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患者满意度与急性精神科住院治疗

Patient satisfaction and acute psychiatric inpatient treatment.

作者信息

Færden Ann, Bølgen Brita, Løvhaug Lars, Thoresen Christian, Dieset Ingrid

机构信息

Division of Mental Health and Addiction, Department of Acute Psychiatry, Oslo University Hospital, Oslo, Norway.

Diakonhjemmet Hospital, Oslo, Norway.

出版信息

Nord J Psychiatry. 2020 Nov;74(8):577-584. doi: 10.1080/08039488.2020.1764620. Epub 2020 May 19.

DOI:10.1080/08039488.2020.1764620
PMID:32427019
Abstract

Patient satisfaction (PS) with treatment is one of different outcome- and quality measures used by health care providers worldwide to improve service. We report from a study of patients admitted to the Department of Acute Psychiatry at the Oslo University Hospital where we investigated PS and difference between genders, days of hospital stay, diagnostic groups, voluntary-and involuntary admitted patients according to hospital records and perceived voluntary-and involuntary admittance. All admitted patients during a 9-month period in 2014 were asked to participate by written consent. We used The Psychiatric Inpatient Questionnaire (PIPEQ), a self-report survey validated for assessment post-discharge. Analyses were conducted for a general dimension of PS and individual questions. A user representative was a part of the study from the beginning. A total of 357 patients were asked and 256 consented. Results show that 68% were over all satisfied and 14% dissatisfied. Highest PS was found for cooperation with relatives and lowest for influence on choice of treatment and medication. We found no significant difference in PS between men and women, but patients with a personality disorder and with short stay were less satisfied. PS was significantly less for those perceiving involuntary admission regardless of legal status. The PIPEQ gives important input of patient's experience with the delivery of care. Answers range from very much satisfied to not at all depending on what was asked for. Exploring PS provides valuable information for quality improvements for different patient groups.

摘要

患者对治疗的满意度(PS)是全球医疗服务提供者用于改善服务的不同结果和质量衡量标准之一。我们报告了一项对奥斯陆大学医院急性精神科收治患者的研究,在该研究中,我们根据医院记录以及感知到的自愿和非自愿入院情况,调查了患者满意度以及性别、住院天数、诊断组、自愿和非自愿入院患者之间的差异。2014年9个月期间的所有入院患者均被要求书面同意参与研究。我们使用了《精神科住院患者问卷》(PIPEQ),这是一项经过验证的用于出院后评估的自我报告调查。对患者满意度的总体维度和各个问题进行了分析。从一开始就有一名用户代表参与该研究。总共邀请了357名患者,256名患者同意参与。结果显示,68%的患者总体满意,14%的患者不满意。在与亲属合作方面患者满意度最高,在对治疗和用药选择的影响方面患者满意度最低。我们发现男性和女性在患者满意度方面没有显著差异,但患有精神障碍和住院时间短的患者满意度较低。无论法律地位如何,那些认为是非自愿入院的患者的满意度明显较低。PIPEQ为了解患者的护理体验提供了重要信息。根据所询问的内容,答案范围从非常满意到一点也不满意。探索患者满意度为不同患者群体的质量改进提供了有价值的信息。

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