ISSN: 1230-2813
Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii
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SCImago Journal & Country Rank
1/2020
vol. 29
 
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abstract:
Original paper

Subjective evaluation of admission and first days of hospitalization at a psychiatric ward from the perspective of patients

Piotr Błądziński
1
,
Marta Hat
2
,
Artur Daren
1
,
Dawid Kruk
3
,
Anna Depukat
2
,
Łukasz Cichocki
2, 4
,
Krzysztof Wojtasik-Bakalarz
5
,
Małgorzata Bryła
2
,
Kamila Wronkowicz
2
,
Małgorzata Dudek
2
,
Małgorzata Prus-Piotrowicz
2
,
Magdalena Łukawska
2
,
Martyna Kędziora-Wysocka
2
,
Aleksandra Woszczenko
2
,
Andrzej Cechnicki
1

1.
Department of Community Psychiatry, Chair of Psychiatry, Jagiellonian University Medical College, Krakow, Poland
2.
Center for Education, Research and Development, The J. Babiński’s Specialist Hospital, Krakow, Poland
3.
Schizophrenia Research Laboratory, Association for the Development of Community Psychiatry and Care, Krakow, Poland
4.
Department of Psychiatry, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland
5.
Adult Psychiatry Clinic, The University Hospital in Krakow, Poland
Adv Psychiatry Neurol 2020; 29 (1): 39-53
Online publish date: 2020/04/27
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Purpose
An assessment of the subjective experience of admission and first days of hospitalization at a psychiatric hospital and an analysis of its associations with socio-demographic and clinical factors.

Methods
Analyses comprised data on 297 subjects. Diagnoses comprised the whole spectrum of F0-F9 according to ICD-10, the most numerous being F2 (39%), F1 (17%), F3 (16%) and F0 (11%). 30% of the subjects were hospitalised for the first time and 18% were admitted without consent. They were asked to evaluate the situation of being admitted and the first days of their hospitalization 4 to 10 days after the admission. The FEA-P questionnaire was used, with seven dimensions: attitude towards staff, explanation of treatment plan, housing conditions, critical remarks to staff, perception of other patients, perception of ward rules and ward atmosphere.

Results
The total averaged rating on a five-point scale was 3.8. The admission and first days of hospitalization were rated better by older people, by persons with parental roles, patients with a co-morbid somatic illness and those admitted voluntarily. Women from female units were more critical than men. The investigated predictors explained from 11% to 20% of different aspects of the experience of admission and first days of hospitalization.

Conclusions
The majority of respondents assessed positively all aspects of admission and their first days of hospitalization. One of the most important predictors of higher ratings of the admission and first days of hospitalization was the older age of the subjects. Moreover, more critical evaluation was related to the type of ward (co-educational or single-sex) the subjects were staying in, with women from female units showing the most critical appraisals. The results obtained point to the significance of both demographic variables as well as the surroundings as regards the reception of the situation of admission into hospital.

keywords:

psychiatric hospitalization, subjective experience, prognostic factors

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