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Satisfaction of hospitalized psychiatry patients: why should clinicians care?

机译：住院精神病患者的满意度：临床医生为什么要护理？

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Background: The aim of this study was to determine the relationship between inpatient satisfaction and health outcomes, quality of life, and adherence to treatment in a sample of patients with schizophrenia, while considering key sociodemographic and clinical confounding factors.Methods: This cross-sectional study was conducted in the psychiatric departments of two public university hospitals in France. The data collected included sociodemographic information, clinical characteristics, quality of life (using the?36-Item Short Form Health?Survey), nonadherence to treatment (Medication Adherence Report Scale), and satisfaction (a specific self-administered questionnaire based exclusively on patient point of view [Satispsy-22] and a generic questionnaire for hospitalized patients [QSH]). Multiple linear regressions were -performed to assess the associations between satisfaction and quality of life and between satisfaction and nonadherence. Two sets of models were performed, ie, scores on the Satispsy-22?and scores on the QSH.Results: Ninety-one patients with schizophrenia were enrolled. After adjustment for confounding factors, patients with better personal experience during hospitalization (Satispsy-22) had a better psychological quality of life (SF36-mental composite score, β=0.37; P=0.004), and patients with higher levels of satisfaction with quality of care (Satispsy-22) showed better adherence to treatment (Medication Adherence Report Scale total score, β=?0.32; P=0.021). Higher QSH scores for staff and structure index were linked to better adherence with treatment (respectively, β=?0.33; P=0.019?and β=?0.30; P=0.032), but not with quality of life.Conclusion: Satisfaction was the only factor associated with quality of life and was one of the most important features associated with nonadherence. These findings confirm that satisfaction with hospitalization should not be neglected in clinical practice and that it may improve the management of patients with schizophrenia.
机译：背景：本研究旨在确定精神分裂症患者样本中的住院满意度与健康结果，生活质量和坚持治疗的关系，同时考虑关键的社会人口统计学和临床​​混杂因素。该研究是在法国两家公立大学医院的精神科进行的。收集的数据包括社会人口统计学信息，临床特征，生活质量（使用“ 36项简短健康表”调查），对治疗的不依从性（药物依从性报告量表）和满意度（专门针对患者的自我管理问卷）观点[Satispsy-22]和住院患者的通用问卷[QSH]）。进行多元线性回归以评估满意度与生活质量之间以及满意度与不遵守之间的关联。进行了两个模型的评估，即满意度22分和QSH得分。结果：纳入了91名精神分裂症患者。调整混杂因素后，住院期间有较好个人经历的患者（Satispsy-22）的生活心理质量较好（SF36心理综合评分，β= 0.37; P = 0.004），并且患者对质量的满意度较高护理（Satispsy-22）对治疗的依从性更好（药物依从性报告量表总得分，β=？0.32; P = 0.021）。员工和结构指数的QSH分数越高，与治疗依从性越好相关（分别为β=？0.33; P = 0.019？和β=？0.30; P = 0.032），但与生活质量无关。这是与生活质量相关的唯一因素，并且是与不遵守相关的最重要特征之一。这些发现证实，对住院的满意度在临床实践中不应被忽略，并且可以改善精神分裂症患者的管理。

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