对急性精神健康住院单位提供的护理的满意度

María Teresa Sanz Osorio, Olga Monistrol, Vicenç Vallès Callol, Carles Estrada Bartrons, Patricia Martos Torres, Miguel Ángel Escobar Bravo
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摘要

目的:分析急性精神疾病患者住院期间护理人员对其护理的满意度。方法:于2021年在加泰罗尼亚(西班牙)vall西方医院的急性精神病患者住院病房进行了一项分析性横断面研究。研究人群是那些住院超过一周并完成护理评估工具CAT-V(范围27-135)的患者,其版本翻译成西班牙语。此外,收集了参与者的临床变量:a)入院类型:自愿/非自愿,b)入院诊断,c)使用机械约束,d)使用有毒物质。对收集的变量进行单因素分析和比较分析。结果:纳入100例患者,平均年龄42.5岁(19-72岁);其中55% (p= 55)为女性。满意度的中位得分(P25-P75)为114(103-125),位于第四分位数。满意度值保持在第四个四分位数,在考虑的任何因素中没有显示出任何统计学上的显着差异,除了与使用机械约束相关的值,显示出统计学差异(p= 0,023),使用机械约束的人对护理满意度的感知较差,中位数(P25-P75) 96.5(87-114),而未使用机械约束的人为116(108-125)。尽管在研究的其他变量中没有观察到显著的差异,但在自愿入院者和老年人中,满意度的增加尤为明显。结论:急性精神疾病患者在住院期间对护理人员的护理表现出较高的满意度。机械约束使用的普遍程度对所接受护理的满意度有负面影响。
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Satisfacción con los cuidados de Enfermería proporcionados en una unidad de hospitalización de agudos de salud mental
Objective: to analyse patient satisfaction regarding care received from the Nursing staff during their admission at a hospitalization unit for acute mental health patients.Methods: an analytical cross-sectional study conducted in 2021 at the hospitalization unit for acute Psychiatry patients at a Vallés Occidental hospital in Catalonia (Spain). The study population were those persons hospitalized for over a week who completed the Caring Assessment Tool CAT-V (range 27-135), in its version translated into Spanish. Besides, the clinical variables of participants were collected: a) type of admission: voluntary / involuntary, b) diagnosis at admission, c) use of mechanical restraint, d) use of toxic substances. There was univariate and comparative analysis of the variables collected.Results: the study included 100 patients, with 42.5 years as mean age (19-72); of these, 55% (p= 55) was female. Satisfaction obtained a median score (P25-P75) of 114 (103-125), and was placed in the fourth quartile. Satisfaction values stayed in the fourth quartile, without showing any statistically significant differences in any of the factors considered, except for those values associated with the use of mechanical restraint, which showed statistical differences (p= 0,023), with a worse perception of satisfaction with care in those for whom it was used, median (P25-P75) 96.5 (87-114), vs. those for whom it was not, 116 (108-125). Even though no significant differences were observed for the rest of variables studied, an increase in satisfaction stood out among voluntary admissions and older persons.Conclusions: patients presented high satisfaction with care received from Nursing staff during their admission at a hospitalization unit for acute mental health patients. The prevalence of the use of mechanical restraints had a negative impact on satisfaction with care received.
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