Faculty of Medicine and Health, Institute of Health Sciences, Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
Issues Ment Health Nurs. 2024 Aug;45(8):784-793. doi: 10.1080/01612840.2024.2361336. Epub 2024 Jul 8.
Patient perspectives on the quality of care received are fundamental to mental health care. This study aimed to investigate the association between patient-reported mental health care quality, perceived coercion, and various demographic, clinical, and ward-related factors. Using a cross-sectional design, data were collected from 169 patients in Norwegian mental health wards using the quality in psychiatric care-inpatient (QPC-IP) instrument and experienced coercion scale (ECS). The analysis revealed a consistent pattern in which patients with higher perceived coercion consistently rated lower quality on all QPC-IP dimensions. The significant findings of the multiple regression models further supported this association. Beyond coercion, the factors influencing quality ratings include self-reported treatment results, participation in treatment planning, and knowledge of complaint procedures. Emphasizing the pivotal role of coercion in enhancing mental health care quality, these findings contribute to a nuanced understanding of patient experiences and underscore the importance of patient participation in mental health care improvement efforts.
患者对所接受医疗服务质量的看法是精神卫生保健的基础。本研究旨在调查患者报告的精神保健质量、感知到的强制治疗与各种人口统计学、临床和病房相关因素之间的关联。本研究采用横断面设计，从挪威精神科病房的 169 名患者那里收集了使用精神保健质量-住院患者（QPC-IP）量表和体验到的强制治疗量表（ECS）的数据。分析显示了一种一致的模式，即感知到的强制治疗程度越高的患者在所有 QPC-IP 维度上的评分都越低。多元回归模型的显著发现进一步支持了这种关联。除了强制治疗之外，影响质量评分的因素还包括自我报告的治疗结果、参与治疗计划以及对投诉程序的了解。这些发现强调了强制治疗在提高精神保健质量方面的关键作用，有助于深入了解患者的体验，并强调了患者参与精神保健改善工作的重要性。
