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Satisfaction of family members with inpatient psychiatric care and its correlates: a national survey in China

机译:住院性精神护理的家庭成员的满意度及其相关性:中国国家调查

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Abstract Background Measuring family members’ satisfaction with inpatient psychiatric care may help improve the quality of healthcare in psychiatric hospitals. This survey aimed to investigate the satisfaction of family members with inpatient psychiatric care and to explore its associated factors, using a newly-developed 5-item questionnaire. Methods This study included 1598 family members of psychiatric inpatients in 32 tertiary public psychiatric hospitals in 29 provinces of China. Satisfaction and demographic data were collected by research staff while patient and hospital data were retrieved separately. Results We found that the overall satisfaction level was 93.84% (23.46/25). The total satisfaction score in Northeast China was the highest, followed by the East, Middle and West regions (p < 0.001). There was no significant sex difference in total family satisfaction scores. Family members with a lower educational background (elementary school or less) had significantly lower satisfaction. Family members of patients who were diagnosed with schizophrenia were significantly less satisfied with doctor-family communication. In different treatment response subgroups, the marked improvement subgroup had significantly higher total satisfaction scores and subscores. Meanwhile, lower self-payment expenses and a higher number of psychologic treatments offered per day were significantly associated with higher total satisfaction scores and all subscores. Logistic regression showed a higher educational background, more psychologic treatments offered per day, adequacy of professional staffing (higher doctor/bed, nurse/bed and psychologist/bed ratio) were all significantly associated with higher family satisfaction. Conclusions We suggest government and hospital managers recruit more mental health professions to improve family satisfaction. If feasible, providing more psychologic treatments to inpatients may also improve families’ satisfaction and involvement.
机译:抽象背景测量家庭成员与住院性精神护理的满意度可能有助于提高精神病医院的医疗保健质量。该调查旨在使用新开发的5项问卷调查,调查住院精神护理的家庭成员的满意度,并探索其相关因素。方法本研究包括在中国29个省份32家高等教育医院的1598家精神病住院患者。通过研究人员收集满意度和人口统计数据,而患者和医院数据分别检索。结果我们发现整体满意度为93.84%(23.46 / 25)。东北地区的总满意度得分最高,其次是东部,中游地区(P <0.001)。家庭满意度得分没有显着的性别差异。教育背景(小学或少)较低的家庭成员的满意度明显降低。被诊断出患有精神分裂症的患者的家庭成员对医生家族的沟通显着不太满意。在不同的治疗响应亚组中,标记的改善亚组总满意度分数和次要次数显着提高。同时,较低的自付费用和每天提供的更高数量的心理治疗与较高的总满意度和所有子科学都显着相关。 Logistic回归显示出更高的教育背景,每天提供的心理治疗更高,专业人员的充分性(更高的医生/床,护士/床和心理学家/床比例)都与更高的家庭满意度显着相关。结论我们建议政府和医院经理招募更多的心理健康专业,以提高家庭满意度。如果可行,为住院患者提供更多的心理治疗也可能改善家庭的满意度和受累。

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