The impact of socio-therapeutic procedures to the satisfaction of the health care of patients with mental illness

Cilj: Ispitati utjecaj primjene socioterapijskih postupaka na zadovoljstvo zdravstvenom skrbi, provjeriti razlikuju li se ispitanici s obzirom na spol, bračno stanje, obrazovanje, radni status te medicinsku dijagnozu po samoprocjeni stupnja zadovoljstva zdravstvenom skrbi te procijeniti ulogu medicinske sestre u primjeni socioterapijskih postupaka u procesu liječenja oboljelih od psihičkih poremećaja. Ispitanici i metode: U istraživanju je sudjelovalo 106 ispitanika koji su tijekom rujna, listopada i studenog 2015. bili hospitalizirani (cjelodnevno i parcijalno) na Klinici za psihijatriju KBC Osijek. Kao instrument istraživanja korišten je anonimni anketni upitnik kreiran za potrebe ovog istraživanja. Primijenjena je deskriptivna statistička obrada. Rezultati: Pronađene su statistički značajne razlike s obzirom na spol u odgovoru na tvrdnje o suosjećanju s drugim članovima grupe (p=0.039), upoznavanju ljudi s jednakim problemima (p=0.016) te otkrivanjem kreativnosti (p=0,004). S obzirom na bračni status ispitanika pronađene su u tvrdnjama kako glazboterapija čini pacijenta uznemirenim (p=0,007) te mišljenju da se zdravstveno stanje ispitanika poboljšalo nakon grupne terapije (p=0,038). S obzirom na radni status ispitanika razlike su pronađene u mišljenju da bi medicinska sestra trebala biti više uključena u grupnu terapiju (p=0,036) te u razumijevanju svrhe radne i okupacijske terapije (p=0,005). Zaključak: Socioterapijski postupci pozitivno utječu na zadovoljstvo pacijenata zdravstvenom skrbi, a sudjelovanje u grupnoj terapiji, terapijskog zajednici, glazboterapiji, radnoj i okupacijskoj terapiji doprinosi poboljšanju zdravstvenog stanja oboljelih od psihičkih bolesti. Pronađene su neke statistički značajne razlike s obzirom na spol, bračno stanje i radni status po samoprocjeni stupnja zadovoljstva zdravstvenom, dok prema kriteriju medicinske dijagnoze i obrazovanja razlike nisu pronađene.The impact of socio-therapeutic procedures to the satisfaction with health care of psychiatric patients“ Aim: To examine the impact of application of socio-therapeutic procedures onto satisfaction with health care, to check the differentiation of respondents regarding their gender, marital status, education, employment status and medical diagnosis, with self –assessment of the level of satisfaction with health care and to evaluate the impact of nurses in implementation of socio-therapeutic procedures in treatment process of patients treated for mental disorders. Patients and Methods: The study included 106 subjects, who during September, October and November 2015 were hospitalized (full-time and partial) in the Department of Psychiatry of Osijek Clinical Hospital Center. The survey instrument used was an anonymous questionnaire created for this study. A descriptive statistic evaluation was applied. Results: We found statistically significant differences regarding gender in answers about compassion with other members of the group (p=0.039), about meeting people with similar or same problems (p=0.016) and discovering of creativity (p=0.004). Regarding marital status differences were found in statements that music therapy makes a patient anxious (p=0.007) and in the opinion that the health condition of patients improved after a group therapy (p=0.038). Regarding the employment status of patients differences were found in the opinions that nurses should be more involved in a group therapy (p=0.036) and differences appeared in the understanding of a purpose of work and occupational therapy (p=0.005). Conclussion: Socio-therapeutic procedures positively affect the satisfaction of patients with health care, whereas participation in a group therapy, therapeutic community, music therapy, labor and occupational therapy contributes to improvement of health status of patients with mental disorders. We found some statistically significant differences regarding gender, marital status and employment status after self assessment of satisfaction level with health care, while the criteria of medical diagnosis and education did not show any differences