Department of Psychiatry and Narcology, Riga Stradiņš University, Riga, Latvia.
Statistics Unit, Riga Stradiņš University, Riga, Latvia.
Nord J Psychiatry. 2021 Feb;75(2):79-86. doi: 10.1080/08039488.2020.1795715. Epub 2020 Jul 24.
The study was conducted to explore patient satisfaction and to identify factors associated with patient satisfaction with the care in psychiatric wards using Psychiatric Inpatient Patient Experience Questionnaire On-Site (PIPEQ-OS) self-assessment tool. Such studies to detect factors associated with patient satisfaction in mental health care have not yet been conducted in Latvia.
Cross-sectional study was conducted over 6-month period in 2018. Total amount of 773 mental health care patients were offered to fill in the questionnaire in subacute and acute wards. From them, 419 (54.2%) filled and returned the questionnaire and 354 (45.8%) refused to fill it. Descriptive statistical analysis and factor correlation was done.
Response rate was found to be 54.2%. Patients generally showed high satisfaction with received care. However, lower satisfaction rates were found in items related to engagement of relatives and patients in the treatment process, as well as patients were less satisfied with information provided. Statistically significant higher satisfaction was associated with organic mental disorders compared to schizophrenia spectrum disorders, as well as with female gender, older age, being employed or pensioner, being married or divorced. Patient education level did not show significant association with self-assessment scores.
The study revealed possible directions for improvement in the future in terms of providing information to patients, involvement of relatives and patients in the process of treatment. Further studies with more patients and involvement of other hospitals are required to assess factors associated with the satisfaction to organize care and to plan treatment according to the needs of the patients.
本研究旨在使用精神科住院患者体验问卷现场自评量表（PIPEQ-OS）探索患者满意度，并确定与精神科病房护理满意度相关的因素。在拉脱维亚，尚未开展针对精神卫生保健中与患者满意度相关的因素进行的此类研究。
2018 年进行了为期 6 个月的横断面研究。向亚急性和急性病房的 773 名精神卫生保健患者提供了填写问卷的机会，其中 419 名（54.2%）填写并返回了问卷，354 名（45.8%）拒绝填写。进行了描述性统计分析和因子相关性分析。
应答率为 54.2%。患者普遍对所接受的护理表示高度满意。然而，在与亲属和患者参与治疗过程以及患者对提供的信息满意度较低的项目中，满意度较低。与精神分裂症谱系障碍相比，有机精神障碍患者的满意度显著更高，而女性、年龄较大、就业或领取养老金、已婚或离婚的患者满意度更高。患者的教育水平与自评分数无显著相关性。
本研究揭示了未来在向患者提供信息、让亲属和患者参与治疗过程方面可能需要改进的方向。需要进一步研究更多的患者，并纳入其他医院，以评估与满意度相关的因素，根据患者的需求组织护理和规划治疗。
