Andersson Helle Wessel, Otterholt Eli, Gråwe Rolf W
St. Olav's University Hospital, Trondheim, Norway.
Møre and Romsdal Hospital Trust, Molde, Norway.
Nordisk Alkohol Nark. 2017 Oct;34(5):375-384. doi: 10.1177/1455072517718456. Epub 2017 Aug 11.
The objective of the present study was to investigate associations between patients' satisfaction with different domains of inpatient substance use treatment and their perceived treatment outcome. The primary purpose was to identify domains of treatment satisfaction most strongly associated with a positive treatment outcome.
Data were based on a survey among 188 patients with alcohol and/or illicit substance use disorders completing a three-six-month inpatient stay at one of two public clinics in Central Norway. The survey was carried out shortly before discharge. The 15-item questionnaire covered ratings of staff and programme factors, and services received for medical and mental problems and ancillary services. The outcome score was based on items measuring perceived substance use improvements and benefit of treatment.
A significant proportion of patients were dissatisfied with the support provided for housing, financial issues and employment. Confidence in staff competence was the domain of treatment satisfaction most strongly associated with the outcome score. Furthermore, patients were more likely to report a positive outcome when they were actively involved in the treatment, as indicated by satisfaction with opportunities to affect treatment plans.
Our results suggest that patient-experienced improvements are connected to confidence in staff competence and user involvement. The findings may be interpreted as supporting a collaborative relationship between patients and counsellors.
本研究的目的是调查患者对住院物质使用治疗不同领域的满意度与其所感知的治疗结果之间的关联。主要目的是确定与积极治疗结果最密切相关的治疗满意度领域。
数据基于对188名酒精和/或非法物质使用障碍患者的调查，这些患者在挪威中部的两家公立诊所之一完成了为期三至六个月的住院治疗。调查在出院前不久进行。这份包含15个项目的问卷涵盖了对工作人员和项目因素的评分，以及针对医疗和心理问题所接受的服务及辅助服务。结果得分基于衡量所感知的物质使用改善情况和治疗益处的项目。
相当一部分患者对住房、财务问题和就业方面提供的支持不满意。对工作人员能力的信心是与结果得分最密切相关的治疗满意度领域。此外，正如对影响治疗计划机会的满意度所表明的那样，当患者积极参与治疗时，他们更有可能报告积极的结果。
我们的结果表明，患者体验到的改善与对工作人员能力的信心以及用户参与度有关。这些发现可被解释为支持患者与顾问之间的合作关系。
