Evaluation of the Observance of the Charter of Rights of Patients with Mental Disorders from the Perspective of Nurses and Patients in Panj Azar Hospital in Gorgan in 2020

Lida Starnezhad, Fateme Rostampor, S. Paryab, H. Mehryar, O. Garkaz
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Abstract

Background: One of the most essential indicators of quality evaluation of health services is to assess the status of patients' rights, especially in those with mental illness due to their physical and mental conditions, and how health care providers and recipients interact. Objectives: This study aimed to investigate the observance of the Charter of Rights of Patients with Mental Disorders from the perspective of nurses and patients in Panj Azar Hospital in Gorgan in 2020. Methods: This descriptive cross-sectional study was performed in 2020 among 100 patients admitted to the Psychiatric Ward and 200 nurses working in the psychiatric ward selected by simple random sampling. Data were collected using a demographic questionnaire and a self-made questionnaire. Data were entered into SPSS version 18 and analyzed using descriptive statistics, chi-square test, and independent t-test. Results: In this study, the results showed that the mean age of the subjects was 52.7 ± 22.4 years, and the highest age group of the study participants was 21 - 30 years. Overall, 196 (65.3%) participants were married, and 191 (63.7%) recommended others to return to this hospital. The mean scores of observance of the patient's charter from the nurses' and patients' points of view were 59.26 ± 6.26 and 57.98 ± 8.13, respectively. The subgroup with highest score was respect for the right to free choice and decision making in both groups. The level of compliance with the Charter of Patients' Rights was good and average from both nurses patients’ point of view. Furthermore, there was only a significant relationship between the views of nurses and patients in the subgroups of respect for patient privacy, compliance with the principle of confidentiality (P = 0.001), and access to an efficient grievance redressal system (P = 0.001). Conclusions: Overall, it is inferred that in most cases, nurses are aware of the extent of their compliance with their charter of rights, and from the patients' point of view, the level of compliance with the charter of patients was often moderate.
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从护士和患者的角度评价2020年戈尔根市Panj Azar医院精神障碍患者权利宪章遵守情况
背景:卫生服务质量评价的最重要指标之一是评估病人的权利状况,特别是那些由于身体和精神状况而患有精神疾病的病人的权利状况,以及卫生保健提供者和接受者如何相互作用。目的:本研究旨在从戈尔根市Panj Azar医院护士和患者的角度调查2020年精神障碍患者权利宪章的遵守情况。方法:采用简单随机抽样的方法,于2020年对100名精神科住院患者和200名在精神科工作的护士进行描述性横断面研究。采用人口统计问卷和自制问卷收集数据。数据输入SPSS 18版,采用描述性统计、卡方检验和独立t检验进行分析。结果:本研究结果显示,研究对象的平均年龄为52.7±22.4岁,研究对象的最高年龄为21 - 30岁。总体而言,196名(65.3%)参与者已婚,191名(63.7%)推荐其他人再次来到这家医院。护士对病人章程遵守情况的平均得分为59.26±6.26分,病人对病人章程遵守情况的平均得分为57.98±8.13分。得分最高的亚组是尊重自由选择和决策的权利。从护士和患者的角度来看,对《患者权利宪章》的遵守程度为良好和一般。此外,在尊重患者隐私、遵守保密原则(P = 0.001)和获得有效的申诉制度(P = 0.001)这三个亚组中,护士和患者的观点之间只有显著的关系。结论:总的来说,我们可以推断,在大多数情况下,护士都知道自己对自己的权利章程的遵守程度,而从患者的角度来看,患者对章程的遵守程度往往是中等的。
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