Barker D A, Shergill S S, Higginson I, Orrell M W
Department of Psychiatry, Middlesex Hospital, London.
Br J Psychiatry. 1996 May;168(5):641-6. doi: 10.1192/bjp.168.5.641.
Measurement of the quality of psychiatric care including assessment of patients' views have become increasingly important as expectations of the standard of care rises.
Attitudes and satisfaction of acute psychiatric in-patients were investigated using a questionnaire looking at satisfaction, patients' views on personal and professional qualities of psychiatrists, empowerment and insight.
The response rate was 79.2% (137 out of 173). Patients with a diagnosis of a non-affective psychotic illness, particularly those lacking insight were significantly less satisfied with their care. Respondents were more satisfied with the personal rather than the professional qualities of the doctors, and less satisfied with their empowerment and doctors' availability.
In-patients' attitudes towards their psychiatric care involves a complex relationship between clinical and sociocultural characteristics. Satisfaction studies can serve as an important monitor and reminder of patient dissent.
随着对医疗标准期望的提高,包括评估患者观点在内的精神科护理质量测量变得越发重要。
通过一份调查问卷对急性精神科住院患者的态度和满意度进行了调查,该问卷涉及满意度、患者对精神科医生个人和专业素质的看法、赋权和洞察力。
应答率为79.2%(173人中137人)。诊断为非情感性精神病的患者,尤其是那些缺乏洞察力的患者,对其护理的满意度明显较低。受访者对医生的个人素质而非专业素质更满意,对他们的赋权和医生的可及性不太满意。
住院患者对其精神科护理的态度涉及临床和社会文化特征之间的复杂关系。满意度研究可作为患者异议的重要监测和提醒。