| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 97 === Abstract
Title of Thesis: To Explore The Related Factors From Chronic Mental Illness Patients'' and Primary Caregivers'' Perspective on Satisfaction With Mental Health Services
Institution: Graduate Institute of Nursing,Taipei Medical University
Author: Lie-Ying Lee
Thesis directed by: Chia-Jung Hsieh , Assistant Professor, Taipei
Medical University
Objective: To compare the satisfaction of chronic mentally ill patients and their primary caregivers with the healthcare quality, and to investigate the differences and related factors on satisfaction.
Method: This exploratory investigation was conducted using purposive sampling and structured questionnaires. The research participants were chronic mentally ill patients and their caregivers from two psychiatric hospitals in Taipei,. Data was collected from 309 participants (160 patients, 149 family members). The following data were collected: 1) the basic demographics; 2) the patient disease and global assessment of functioning scale (GAF); 3) the facility characteristics of mental health services; and 4) The Verona Service Satisfaction Scale (VASSS-54). All the scales had good reliability, consistency, and validity. The descriptive and analysis data of statistical methods were performed using SPSS 15.0 software (included the t-test, ANOVA, pearson''s correlation, and mann-whitney u test analysis).
Results:
1. The chronic mentally ill patients had a mean age of 41.52 years, a mean disease duration of 15.13 years, and were predominantly female and schizophrenic diagnosis. Their self-assessed level of health was satisfactory.
2. The primary caregivers were mostly female and had graduated high school. The caregivers had a mean age of 50.68 years, worked as a caregiver a mean of 10.39 years, and reported a satisfactory level of health via self-assessment.
3. The rank of satisfaction for patients were mostly satisfied with the specialized skills, the efficiency of service, and the service accessibility of the healthcare delivered, but the types of interventions and information provisionwith a low level of satisfaction. The primary caregivers exhibited similar ranks of satisfaction. However, there were significant differences between the two groups in all six dimensions of VSSS-54 when participants were limited to responding as “satisfied” or “not satisfied”.
4. The primary caregiver satisfaction score was significantly higher than the patient satisfaction score, and their relationship had significant positive correlation in statistical analysis. Higher levels of caregiver satisfaction with healthcare quality were correlated with closeness to the patients and the quality of interactions with the medical staff (r = .22, .58, .49; p < .05).
5. Patient satisfaction levels were not associated with the score of global assessment of functioning scale and the factors of chronic disease.
6. A major limitation of this study was healthcare facility homogeneity, which hampered the analysis of the effect of facility characters tics on satisfaction level.
Recommendation:
The results of this study contribute to the understanding of factors that improve levels of satisfaction and the quality of mental health care. When providing “patient-and-family-centric” mental healthcare, individual intervention strategies may be developed in accordance to the satisfaction level for each dimension.
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