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首页> 外文期刊>Nordic journal of psychiatry. >Patient satisfaction after acute admission for psychosis
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Patient satisfaction after acute admission for psychosis

机译：精神病患者急性入院后的患者满意度

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Background Measuring patient satisfaction in mental health care potentially provides valuable information, but studies in acutely admitted psychosis patients are scarce. Aims The aims were to assess satisfaction among patients acutely admitted with psychosis, to compare satisfaction in voluntarily versus involuntarily admitted patients, and to assess the influence of symptom load and insight. Methods The UKU Consumer Satisfaction Rating Scale (UKU-ConSat) was used. A total of 104 patients completed the UKU-ConSat at discharge/follow-up (between 6-11 weeks after admittance if not discharged earlier) (mean duration of stay 4 weeks), thus corresponding to the end of the acute treatment phase. Results A total of 88.4% had total scores above zero (satisfied). Only three of the eight single items were statistically significantly different among patients admitted voluntarily versus involuntarily, and only the information item score remained significantly different in adjusted analyses. Insight level at admittance, and an increasing level of insight during the acute phase were positively associated with patient satisfaction, whereas levels and changes in positive and negative psychosis symptoms were indirectly related to satisfaction via this process of insight. Conclusions The vast majority of the acutely admitted patients were satisfied with treatment. There were few differences between the involuntarily and voluntarily admitted patient groups, except that the involuntary care group was clearly less satisfied with the information provided. Poor insight had a major negative impact on treatment satisfaction in psychosis. The provision of sufficient and adequate information is an important target for mental health care service improvement.
机译：背景技术在精神卫生保健中衡量患者满意度可能提供有价值的信息，但是对于急诊入院的精神病患者的研究很少。目的目的是评估急性精神病患者的满意度，比较自愿患者和非自愿患者的满意度，以及评估症状负荷和见解的影响。方法采用UKU消费者满意度量表（UKU-ConSat）。共有104例患者在出院/随访时（入院后6-11周之间，如果不早出院则完成）完成UKU-ConSat（平均住院时间为4周），因此对应于急性治疗阶段的结束。结果总体得分为零（满意）的占88.4％。在自愿和非自愿住院的患者中，八个单项中只有三项在统计学上有显着差异，在调整后的分析中，只有信息项得分仍显着不同。入院时的洞察力水平以及急性期的洞察力水平与患者满意度呈正相关，而通过这种洞察力过程，阳性和阴性精神病症状的水平和变化与满意度之间存在间接关系。结论绝大多数急诊患者对治疗感到满意。非自愿和自愿入院的患者组之间几乎没有区别，只是非自愿护理组对所提供的信息明显不满意。洞察力差会对精神病患者的治疗满意度产生重大负面影响。提供足够和充分的信息是改善精神保健服务的重要目标。

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