TITLE

Satisfaction of hospitalized psychiatry patients: why should clinicians care?

AUTHOR(S)
Zendjidjian, Xavier-Yves; Baumstarck, Karine; Auquier, Pascal; Loundou, Anderson; Lancon, Christophe; Boyer, Laurent
PUB. DATE
April 2014
SOURCE
Patient Preference & Adherence;2014, Vol. 8, p575
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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.
ACCESSION #
95852681

 

Related Articles

  • Psychiatrists' awareness of adherence to antipsychotic medication in patients with schizophrenia: results from a survey conducted across Europe, the Middle East, and Africa. Olivares, José Manuel; Alptekin, Köksal; Azorin, Jean-Michel; Cañas, Fernando; Dubois, Vincent; Emsley, Robin; Gorwood, Philip; Haddad, Peter M.; Naber, Dieter; Papageorgiou, George; Roca, Miquel; Thomas, Pierre; Martinez, Guadalupe; Schreiner, Andreas // Patient Preference & Adherence;2013, Vol. 7, p121 

    Background: Nonadherence is common among patients with schizophrenia, although the rates vary according to means of assessment and patient population. Failure to adhere to medication can have a major impact on the course of illness and treatment outcomes, including increasing the risk of relapse...

  • Caracterización clínica y terapéutica de un muestreo portugués de pacientes con esquizofrenia.  // Actas Espanolas de Psiquiatria;may2011, Vol. 39 Issue 3, p147 

    Introduction. The development of Mental Health policies for psychiatric disorders should be driven by a correct knowledge of the socio-demographic, clinical and therapeutic realities of the disease. There is paucity of detailed studies in the Portuguese population that does not allow a direct...

  • Relationships between Use of Long Acting Antipsychotics and Sociodemographic and Clinical Characteristics of Patients with Schizophrenia. Albayrak, Yakup; Unsal, Cuneyt; Beyazyuz, Murat // Klinik Psikofarmakoloji Bulteni;2013, Vol. 23 Issue 2, p171 

    Objective: Schizophrenia is a chronic psychiatric disorder that causes severe sociooccupational disability. The primary goal of treatment is to prevent a subsequent relapse and restore sociooccupational functioning to the premorbid level. However, high rates of relapses can be seen during the...

  • Gender differences in coerced patients with schizophrenia. Nawka, Alexander; Kalisova, Lucie; Raboch, Jiri; Giacco, Domenico; Cihal, Libor; Onchev, Georgi; Karastergiou, Anastasia; Solomon, Zahava; Fiorillo, Andrea; Del Vecchio, Valeria; Dembinskas, Algirdas; Kiejna, Andrzej; Nawka, Petr; Torres-Gonzales, Francisco; Priebe, Stefan; Kjellin, Lars; Kallert, Thomas W. // BMC Psychiatry;2013, Vol. 13 Issue 1, p179 

    Background Despite the recent increase of research interest in involuntary treatment and the use of coercive measures, gender differences among coerced schizophrenia patients still remain understudied. It is well recognized that there are gender differences both in biological correlates and...

  • Kronik Hasta Servislerinde Uzun Süre Yatan Åžizofreni Hastaları Nasıl Tedavi Ediliyor? Kurt, Erhan; Özver, ‹smail; Alataş, Gazi; Bilgiç, Vedat // Yeni Symposium;2010, Vol. 48 Issue 3, p223 

    Objective: With this study , the evaluation of their treatment of patients with schizophreniawho have been hospitalized for a long time in the chronic psychiatric patients services in Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery was aimed. Method: The...

  • Åžzofrenide Cinsel Ä°ÅŸlev Bozuklukları: Kesitsel Bir DeÄŸerlendirme. Çakmak, Soner; Karakuş, Gonca; Evlice, Yunus Emre // Klinik Psikiyatri Dergisi;2010, Vol. 13 Issue 2, p55 

    No abstract available.

  • Manage schizophrenia with individualized care. Boccuzzi, Stephen J. // Managed Healthcare Executive;Aug2012, Vol. 22 Issue 8, p13 

    The article focuses on the issues on the nonadherence of schizophrenia patients and the approach to overcome such issues. It states that nonadherent patients significantly contribute on mental healthcare cost as they are likely to have clinical relapse and hospitalization. It highlights the...

  • Antipsychotic Medication Adherence and Satisfaction Among Palestinian People with Schizophrenia. Sweileh, Waleed M.; Ihbesheh, Manal S.; Jarar, Ikhlas S.; Sawalha, Ansam F.; Taha, Adham S. Abu; Zyoud, Sa'ed H.; Morisky, Donald E. // Current Clinical Pharmacology;Feb2012, Vol. 7 Issue 1, p49 

    Background: In Arab and Muslim-dominated countries, spirituality and religiosity shape the belief and practices toward chronic illnesses. No previous studies were published to assess adherence to and satisfaction with antipsychotic medications in persons with schizophrenia in the Arab world....

  • Cost-effectiveness model comparing olanzapine and other oral atypical antipsychotics in the treatment of schizophrenia in the United States. Furiak, Nicolas M.; Ascher-Svanum, Haya; Klein, Robert W.; Smolen, Lee J.; Lawson, Anthony H.; Conley, Robert R.; Culler, Steven D. // Cost Effectiveness & Resource Allocation;2009, Vol. 7, Special section p1 

    Background: Schizophrenia is often a persistent and costly illness that requires continued treatment with antipsychotics. Differences among antipsychotics on efficacy, safety, tolerability, adherence, and cost have cost-effectiveness implications for treating schizophrenia. This study compares...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics