Satisfaction of hospitalized psychiatry patients: why should clinicians care?

Figures & data

Table 1 Sample characteristics

		N=91
Sociodemographic characteristics		N (%)
Sex	Men	46 (50.5)
	Women	45 (49.5)
Age, years	M ± SD	45.7±15.2
Educational level	<12 years	35 (42.2)
	≥12 years	48 (57.8)
Clinical characteristics		M ± SD
CGI-S (1–7)		4.9±1.2
GAF (1–100)		52.6±15.2
Satisfaction		M ± SD
Satispsy-22 scores (0–100)	Satisfaction with staff	76.0±21.2
	Quality of care	73.1±21.9
	Personal experience	50.6±25.0
	Information	68.4±25.1
	Activity	57.8±27.7
	Food	65.3±24.9
	Index	67.0±14.0
QSH scores (0–100)	Staff index	77.0±10.6
	Structure index	73.7±14.1
Quality of life and nonadherence		M ± SD
SF36 scores (0–100)	SF36-PCS	46.7±7.2
	SF36-MCS	36.3±10.6
MARS scores	Medication adherence behavior (0–4)	0.9±1.0
	Attitude toward taking medication (0–4)	1.2±1.1
	Negative side effects and attitudes to psychotropic medication (0–2)	0.5±0.8

Abbreviations: CGI-S, Clinical Global Impression-Severity scale; GAF, Global Assessment Functioning (functioning of patient at the time of discharge); MARS, Medication Adherence Rating Scale; SF36, 36-Item Short Form Health Survey; SF36-PCS, physical composite score; SF36-MCS, mental composite score; QSH, questionnaire for satisfaction of hospitalized patients; Satispsy-22, satisfaction in psychiatry questionnaire; M, mean; SD, standard deviation.

Table 2 Associations of satisfaction (Satispsy-22 and QSH) with quality of life (SF36) and nonadherence to treatment (MARS)

Pearson’s correlation coefficients		SF36-PCS	SF36-MCS	Medication adherence behavior	Attitude toward taking medication	Negative side effects and attitudes to psychotropic medication	Index MARS
Satispsy-22	Satisfaction with staff	−0.073	0.142	0.014	0.083	−0.282*	−0.098
	Quality of care	0.241	0.198	−0.141	−0.319*	−0.370**	−0.366**
	Personal experience	0.213	0.305*	−0.024	−0.164	−0.243	−0.110
	Information	−0.037	0.056	0.293*	0.060	−0.032	0.120
	Activity	0.317*	0.218	−0.197	−0.179	−0.361**	−0.265
	Food	−0.057	−0.040	0.104	−0.218	−0.219	0.032
	Index	0.167	0.252	0.026	−0.158	−0.444**	−0.181
QSH	Staff index	−0.059	0.038	−0.036	−0.184	−0.174	−0.313*
	Structure index	0.216	0.068	−0.004	−0.292*	−0.354**	−0.136

Notes:

* P<0.05

** P<0.01.

Abbreviations: MARS, Medication Adherence Rating Scale; SF36, 36-Item Short Form Health Survey; SF36-PCS, physical composite score; SF36-MCS, mental composite score; QSH, questionnaire for satisfaction of hospitalized patients; Satispsy-22, satisfaction in psychiatry questionnaire.

Table 3 Factors associated with quality of life and nonadherence scores (linear regressions)

		Models with Satispsy-22 scores						Models 2 with QSH scores
		SF36-PCS	SF36-MCS	MARS1	MARS2	MARS3	Index MARS	SF36-PCS	SF36-MCS	MARS1	MARS2	MARS3	Index MARS
Age	β	0.121	−0.319	−0.059	0.151	0.075	−0.010	−0.219	0.123	−0.109	0.071	0.040	0.037
	P	0.366	0.017	0.651	0.229	0.522	0.940	0.100	0.353	0.384	0.610	0.763	0.785
Sex	β	−0.150	−0.133	0.162	0.088	0.279	0.281	−0.129	−0.158	0.202	−0.068	0.182	0.349
0 men, 1 women	P	0.267	0.297	0.215	0.494	0.020	0.034	0.329	0.235	0.106	0.642	0.192	0.012
CGI-S	β	0.110	0.016	0.057	−0.198	−0.236	−0.078	−0.025	0.188	0.726	−0.060	−0.087	0.005
	P	0.488	0.916	0.699	0.189	0.108	0.608	0.868	0.217	0.471	0.748	0.623	0.975
GAF	β	0.171	0.118	−0.140	−0.321	−0.333	−0.378	0.117	0.252	−0.157	−0.278	−0.226	−0.278
	P	0.245	0.392	0.313	0.030	0.018	0.013	0.410	0.217	0.247	0.125	0.182	0.070
Satisfaction with staff	β	–	–	–	–	−0.196	–
	P					0.169
Quality of care	β	–	–	–	−0.287	−0.301	−0.315
	P				0.026	0.032	0.021
Personal experience	β	–	0.373	–	–	–	–
	P		0.004
Information	β	–	–	0.223	–	–	–
	P			0.092
Activity	β	0.262	–	–	–	−0.065	–
	P	0.053				0.670
Food	β
	P
Staff index	β							–	–	–	–	–	−0.326
	P												0.019
Structure index	β							–	–	–	−0.246	−0.300	–
	P										0.094	0.032

Note: Figures in bold indicate statistical significance.

Abbreviations: CGI-S, Clinical Global Impression-Severity scale; GAF, Global Assessment Functioning (functioning of patient at the time of discharge); MARS, Medication Adherence Rating Scale; SF36, 36-Item Short Form Health Survey; SF36-PCS, physical composite score; SF36-MCS, mental composite score; QSH, questionnaire for satisfaction of hospitalized patients; Satispsy-22, satisfaction in psychiatry questionnaire.

Supplement 1 List of 22-Satispsy items (English version)

Item number	English item, general meaning
1	I received sufficient information about the hospital stay (consultations and care planning, drug delivery …)
2	I felt anxious or stressed while in the ward
3	I thought the service provided enough activities and patient entertainment
4	I felt lonely and isolated
5	I felt that staff were available when I needed them
6	I thought the quality of the food was good
7	My disorder has been adequately treated
8	I trusted the medical staff
9	My treatment was suitably adjusted to suit me
10	I found the staff respectful
11	I’ve been informed of the how the service functions (visiting hours, discharge process …)
12	I felt that staff were available
13	I thought the range of proposed activities was broad enough
14	The treatment was positive overall and benefited me
15	I felt imprisoned
16	I thought the food was sufficiently abundant
17	I felt that staff listened to me
18	I am in better condition now than when I was admitted
19	I felt deprived of my freedom
20	I thought the staff were helpful
21	I received the right treatment
22	I thought the staff were competent

Supplement 2 List of 37-QSH items (English version)

Item number	English item general meaning
	When arriving at the hospital …
1	Administrative staff registered me quickly
2	Administrative staff was helpful and kind
3	I felt the coordination between administrative wards was good
	When arriving at the department/ward …
4	Health professional providers took me in quickly
5	Health professional providers welcomed me heartily
6	I believed that the staff knew that I was arriving
	During my hospital stay, the medical staff …
7	Identified themselves (name, function)
8	Communicated with me in a comprehensive manner
9	Gave me attention and considered my needs
10	Won my trust and reassured me
11	Regularly came to see me
12	Came each time I needed them
13	Gave me full attention
14	Answered all of my questions
	During my hospital stay, the nursing staff …
15	Identified themselves (name, function)
16	Communicated with me in a comprehensive manner
17	Gave me attention and considered my needs
18	Won my trust and reassured me
19	Gave me full attention
20	Shared information about myself with other nurses
21	Helped me with daily activities
22	Respected my privacy
	During my hospital stay, the other staff …
23	Identified themselves (name, function)
24	Gave me attention and considered my needs
25	Quickly came in my room when needed
26	Kindly welcomed me
27	Helped me with daily activities
28	Conscientiously did their work
	During my hospital stay, the waiting time was …
29	Before going or coming back from clinics, operating rooms
30	When being received in clinics, operating room
	During my hospital stay, my room …
31	Was appropriately cleaned
32	Was well equipped
	During my hospital stay, the rest rooms …
33	Were appropriately cleaned
34	Were in or close to my room
	During my hospital stay, the food …
35	Was of good quality
36	Was of sufficient quantity
37	Was adapted to my needs (treatments, comorbidities …)