[Patient satisfaction with psychiatric care. Historical perspective, methods and results from the international literature]

The influence of diagnoses on patient satisfaction during inpatient stays: A prospective study

The aim of this study was to assess patient satisfaction relating to inpatient stays. In this prospective observational study, adult patients with oncological (oral cancer, medication-related osteonecrosis of the jaw) and non-oncological (mandibular fracture) diagnoses, and who had undergone surgery, were contacted 4 weeks after discharge. Two validated questionnaires were used: EORTC QLQ-C30 for quality of life and IN-PATSAT32 for patient satisfaction. For quality of life, the mandibular fracture group had a lower impairment of physical functioning (M = 83.59, SD = 24.44; p = 0.029) in comparison with both other groups (M = 68.84, SD = 26.24; M = 59.33, SD = 24.43, for oral cancer and osteonecrosis, respectively). Regarding patient satisfaction, patients with oral cancer were slightly more satisfied with doctors' availability (M = 48.91, SD = 24.11; p = 0.583) compared with the other groups (M = 36.54, SD = 19.11; M = 46.67, SD = 20.86, for mandibular fracture and ostenecrosis, respectively). Patients with an unplanned inpatient stay following an acute event tended to be less satisfied than patients with a planned inpatient stay. Within the limitations of the study it seems that knowledge of these influencing external factors and their effects can support physicians and nursing staff in providing improved patient care.

Verbesserung der Lebensqualität durch psychosoziale Nachsorge?

Ziel der Studie Die Studie untersucht, inwieweit Menschen mit psychosozialem Unterstützungsbedarf von den Leistungsangeboten Fähigkeitsorientierte Aktivität, Mobile Betreuung und Hilfe, Psychosoziale Beratungsstelle und Wohnen profitieren und wie diese Leistungsangebote sich subjektiv auf die Lebensqualität der Betroffenen auswirken.

Methodik Für die Beantwortung der Forschungsfragen wurden von den 4 Leistungsbereichen über 5 Jahre (2013–2017) 2099 Datensätze aus Klientenzufriedenheitsbefragungen statistisch ausgewertet. Die Klienten wurden dabei jeweils zum erlebten Nutzen in Bezug auf verschiedene Aspekte (z. B. Wohnsituation, Alltagsbewältigung, Zuversicht) sowie zur empfundenen Lebensqualität befragt.

Ergebnisse und Schlussfolgerungen Die Analyse der Daten zeigt eine Verbesserung und Stabilisierung von Lebensqualität nach Zugang in die jeweilige psychosoziale Nachsorge. Diese subjektiv empfundene Verbesserung von Lebensqualität im Laufe der Leistungsnutzung wurde allgemein von allen Nutzern der untersuchten Bereiche wahrgenommen. Allerdings profitieren die Nutzer, in Abhängigkeit von der Leistungsnutzung, in unterschiedlichen Aspekten und die Verbesserung der Lebensqualität ist folglich, je nach Leistungsnutzung, auf unterschiedliche Arten des Nutzens zurückzuführen.

[Treatment Satisfaction of Mothers with Postpartum Depression Concerning Circle of Security Intervention]

Treatment Satisfaction of Mothers with Postpartum Depression Concerning Circle of Security Intervention Treatment satisfaction of mothers with postpartum depression who undergo mother-infant treatment is rarely examined, albeit seen as one aspect of treatment success. This study deals with maternal treatment satisfaction concerning the Circle of Security (COS) group intervention, compared to standard-mother-infant treatment (TAU), within a RCT trial. Treatment satisfaction was captured by the Fragebogen zur Beurteilung der Behandlung (FBB-E) of 52 mothers assigned to COS or TAU at children's age between 16 to 18 months. Process quality as well as outcome quality was assessed. Process quality included the evaluation of treatment procedure, information supply, evidence and justification of the measures undertaken, therapist's competence and coordination ability as well as the quality of relationship between therapist and mother. Results showed overall good to high and marginally different treatment satisfaction between both groups. COS-mothers declared themselves significantly more satisfied with the child (FBB-E-subscale: Success concerning the infant) than TAU-mothers. Both groups showed higher treatment satisfaction with the process quality than with the outcome quality of intervention. Overall, COS seem to meaningfully foster the acknowledgment of the child. In mother-infant treatment, particular attention is warranted to aspects of the process quality that attain the mother's treatment satisfaction.

Adolescents with anorexia nervosa have their say: a review of qualitative studies on treatment and recovery from anorexia nervosa

Anorexia nervosa often begins in adolescence, and there is a growing body of quantitative literature looking at the efficacy of treatment for adolescents. However, qualitative research has a valuable contribution to make to the understanding of treatment and recovery. This paper aims to review qualitative studies on the experience of treatment and recovery for adolescents with anorexia nervosa. Key themes from the 11 studies identified the role of family, peers and professionals, family therapy, the inpatient setting, emphasis on physical versus psychological and conceptualisation of recovery. Future studies would benefit from relating their findings to adolescent theory and considering reflexivity. Implications for clinical practice are also discussed.

A satisfaction survey of women admitted to a Psychiatric Mother and Baby Unit in the northwest of England

A Satisfaction Questionnaire for an Inpatient Mother and Baby Unit was developed covering general psychiatric and specific perinatal aspects of the service. In a study of 41 women admitted over one year twenty returned the completed questionnaire. Among respondents overall satisfaction with the service was very high and women preferred it to a general psychiatric ward. Respondents were most dissatisfied with degree of involvement in the planning and the level of decision making about their care which is a recurring theme in surveys of psychiatric inpatients.

Indicators of empowerment and disempowerment in the subjective evaluation of the psychiatric treatment process by persons with severe and persistent mental illness: a qualitative and quantitative analysis

Empowerment and disempowerment is studied in terms of the way persons with long and persistent schizophrenia evaluate their psychiatric outpatient treatment. One hundred persons with the diagnosis of schizophrenia (ICD-10 F 20.0) were interviewed about their perceptions and evaluation of the treatment process by means of problem-focused interviews. Transcribed interviews were subjected to qualitative content analysis. Relationships among the categories of the qualitative content analysis were analyzed by means of a homogeneity analysis. The latent dimension extracted by the homogeneity analysis could be interpreted as a quantitative measure of an empowered or a disempowered perception of the treatment process. As a result of the qualitative content analysis it was found that a majority of participants tend to describe their treatment as reduced to drug treatment and that they tend to notice only positive medication effects rather than mixed medication effects or positive effects of conversation and that they feel helpless or indifferent rather than actively involved in the treatment process. The impact of socio-demographic, clinical, and treatment characteristics on the participants' location on a latent dimension called "empowerment" was examined by means of multiple regression analysis. General life satisfaction, negative symptoms and getting depot medication were positively associated with a more disempowered perception of the treatment process whereas positive symptoms, getting antidepressant medication and being treated in an outpatient clinic instead of a private practice were associated with a more empowered perception.