Mortazavi Shahrzad, Jalilvand Mohammad Ali, Moeeni Maryam, Ponnet Koen, Omranifard Victoria
Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran.
Student Research Committee, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC Psychiatry. 2025 Feb 25;25(1):173. doi: 10.1186/s12888-025-06585-x.
Mental illnesses have a high prevalence among elderly patients. It is estimated that half of the elderly do not utilize the psychiatric care that they need. Paying attention to patient preferences can improve treatment adherence and patient outcomes. This study aims to qualitatively identify the preferences of elderly patients hospitalized in the psychiatric wards of hospitals regarding their inpatient psychiatric treatments.
This qualitative study was conducted at Khorshid Hospital in Isfahan, Iran. The study sample included patients in the age range of 60 years or above who had already been hospitalized due to diagnosed psychiatric diseases. Twenty-one semistructured interviews were conducted from March to September 2023. A thematic analysis method was used to analyze the data.
The study extracted three overarching themes, including patients' preferences regarding hospital features, patients' preferences regarding hospital staff, and patients' preferences regarding service delivery.
The findings of this study showed that elderly patients consider different preferences when choosing inpatient psychiatric services. The findings provide new insights for decision-makers and health providers in designing and implementing psychiatric treatments by considering elderly patients' preferences, which in turn might help improve treatment outcomes and increase patient satisfaction.
精神疾病在老年患者中具有较高的患病率。据估计，一半的老年人没有接受他们所需的精神科护理。关注患者偏好可以提高治疗依从性和患者治疗效果。本研究旨在定性确定在医院精神科病房住院的老年患者对其住院精神科治疗的偏好。
本定性研究在伊朗伊斯法罕的霍什德医院进行。研究样本包括60岁及以上因确诊精神疾病已住院的患者。2023年3月至9月进行了21次半结构化访谈。采用主题分析法对数据进行分析。
该研究提炼出三个总体主题，包括患者对医院特征的偏好、患者对医院工作人员的偏好以及患者对服务提供的偏好。
本研究结果表明，老年患者在选择住院精神科服务时会考虑不同的偏好。这些发现为决策者和医疗服务提供者在设计和实施精神科治疗时考虑老年患者的偏好提供了新的见解，这反过来可能有助于改善治疗效果并提高患者满意度。
