Department of Psychiatry, Dr. Ambachew Memorial Hospital, Amhara Regional Health Bureau, Tach Gaynt, Ethiopia.
Department of Psychiatry, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Health Serv Res. 2023 Jun 17;23(1):650. doi: 10.1186/s12913-023-09665-4.
Compassion is the first ethical principle of health care to provide high- quality care that influences patient satisfaction and treatment outcome. However, there is limited data on the level of compassionate mental health care practice in low-resource countries like Ethiopia.
This study aimed to assess the level of perceived compassionate care and associated factors among patients with mental illness at Tibebe Ghion specialized and Felege Hiwot comprehensive specialized hospital, North West, Ethiopia, 2022.
An institutional-based cross-sectional study design was conducted from June 18 to July 16, 2022, at Tibebe Ghion Specialized and Felege Hiwot Comprehensive Specialized Hospital. A systematic random sampling technique was used. The level of perceived compassionate care was assessed by the validated 12-item Schwartz Center Compassionate Care Scale among 423 patients with mental illness. Epicollect-5 was used to collect data, which was then exported to the Statistical Product and Service solution version 25 for analysis. Variables with a P-value < 0.05, and 95% confidence interval (CI) were used to declare significant variables at the multivariate logistic regression analysis.
The level of perceived good compassionate care was 47.5% (95% CI 42.6%-52.4%). Factors including urban residence (AOR = 1.90; 95%CI 1.08-3.36), duration of illness < 24 months (AOR = 2.68; 95% CI 1.27-5.65), strong social support (AOR = 4.43; 95%CI 2.16-9.10), shared decision making (AOR = 3.93; 95% CI 2.27-6.81), low perceived stigma(AOR = 2.97; 95% CI 1.54-5.72) and low patient anticipated stigma (AOR = 2.92; 95% CI 1.56-5.48) were positively associated with good compassionate care.
Less than half of the patients had received good compassionate care. Compassionate mental health care needs public health attention. Policymakers should emphasize on compassionate care continuity by including it in the health care curriculum and design appropriate policies to strengthen compassionate care.
同情心是医疗保健的首要伦理原则，它提供高质量的护理，影响患者满意度和治疗结果。然而，在埃塞俄比亚等资源匮乏的国家，关于同情心理健康护理实践的水平的数据有限。
本研究旨在评估 2022 年在埃塞俄比亚西北的 Tibebe Ghion 专科医院和 Felege Hiwot 综合专科医院接受精神疾病治疗的患者感知到的同情护理水平及其相关因素。
这是一项 2022 年 6 月 18 日至 7 月 16 日在 Tibebe Ghion 专科医院和 Felege Hiwot 综合专科医院进行的基于机构的横断面研究。采用系统随机抽样技术。在 423 名精神疾病患者中，使用经过验证的 12 项 Schwartz 中心同情护理量表评估感知到的同情护理水平。使用 Epicollect-5 收集数据，然后将其导出到 Statistical Product and Service solution 版本 25 进行分析。采用多变量逻辑回归分析，具有 P 值<0.05 和 95%置信区间（CI）的变量被用来宣布具有显著意义的变量。
感知到的良好同情护理水平为 47.5%（95%CI 42.6%-52.4%）。城市居住（AOR=1.90；95%CI 1.08-3.36）、患病时间<24 个月（AOR=2.68；95%CI 1.27-5.65）、社会支持强（AOR=4.43；95%CI 2.16-9.10）、共同决策（AOR=3.93；95%CI 2.27-6.81）、感知耻辱感低（AOR=2.97；95%CI 1.54-5.72）和患者预期耻辱感低（AOR=2.92；95%CI 1.56-5.48）与良好同情护理呈正相关。
不到一半的患者接受了良好的同情护理。同情心理健康护理需要公共卫生关注。政策制定者应通过将其纳入医疗保健课程来强调同情护理的连续性，并制定适当的政策来加强同情护理。
