Compliance, social and psychological profile and satisfaction with cardiological care during in-patient hospitalization in elderly and senile patients
https://doi.org/10.21626/vestnik/2020-1/01
Abstract
Objective. The aim of the study was to investigate the compliance, social and psychological profile and satisfaction of elderly and senile patients with cardiological care in a 24-hour in-patient hospitalization.
Materials and methods. 400 elderly and senile patients were hospitalized in the District Hospital of Kostroma District No 1 and randomized in the study. Compliance of patients and social and psychological profiles were evaluated. The types of temperament of patients, valuable orientations and skills to communicate were determined. The individual strategy and tactics of patients’ behavior in a conflict situation and the level of motivation of patients for success in treatment were investigated.
Results. Senile patients are more critical than elderly people in assessing the medical care provided and are more likely to have extreme levels of compliance, which can be expressed either in the "blind" implementation of doctors recommendations, or in their partial or complete disregard for and lack of confidence in medical appointments. Social and psychological factors that negatively affect the formation of satisfaction of patients of elderly and senile age with the cardiological care in hospital conditions are melancholic type of temperament, extreme levels of communicability, opposing style of behavior in conflict, suspicious style of interpersonal relations, and high level of motivation for success in treatment.
Conclusion. When working with patients, their personal characteristics should be taken into account, stage-by-stage psychological counseling should be carried out with the formation of the psychological portfolio of the patient.
About the Authors
Anna A. Gruzdeva
District Hospital of Kostroma District No 1
Russian Federation
PhD in Medicine, Head of Cardiology Department
Russian Federation
PhD in Medicine, Head of Cardiology Department
Mikhail V. Ilyin
Yaroslavl State Medical University
Russian Federation
DM, Head of Department of Therapeutics named after Professor E.N. Dormidontov
Russian Federation
DM, Head of Department of Therapeutics named after Professor E.N. Dormidontov
References
1. Берсенева Е.А., Мендель С.А., Савостина Е.А., Таирова Р.Т. Результаты анкетирования пациентов с целью оценки организации процессов в медицинском учреждении. Вестник современной клинической медицины. 2018;11(2):59-65. DOI: 10.20969/VSKM.2018.11(2).59-65
2. Волнухин А.В. Анализ приверженности пациентов сети негосударственных поликлиник врачебным назначениям. Научный журнал. 2017;1(14):77-80
3. Головина Н.А. Удовлетворенность населения качеством и доступностью медицинской помощи (по материалам республики Коми). Научные вести. 2018;5:73-78
4. Данилов А.В., Исаенкова Е.А. Методические подходы к измерению удовлетворенности качеством медицинских услуг пациентами для целей формирования управленческих решений на региональном уровне. Моделирование, оптимизация и информационные технологии. 2017;3(18):1
5. Ермак Н.А. Личность человека пожилого возраста. Известия высших учебных заведений. Северо-кавказский регион. Общественные науки. 2007;2:103-105
6. Жуковcкая М.С. Оценка степени удовлетворенности пациента качеством оказания медицинской помощи. Главврач. 2018;2:56-59
7. Кирюхин О.Л., Бузынин В.И. Проблема оценки качества медицинской помощи: ориентация на пациента (аналитический обзор анкет и опросников 1979-2017 годов). Центральный научный вестник. 2017;2(21-38):7-10
8. Литвинцева Н.А. Психологическое тестирование в медицинской практике. Иваново: Ивановский издательский дом, 2018. 324 с.
9. Ломакин С.А., Щетинина И.С. Проблемы повышения доступности и качества медицинской помощи в Российской Федерации. Вестник магистратуры. 2018;12-3(87):12-13
10. Реан А.А., под ред. Психология человека от рождения до смерти. Санкт-Петербург: Прайм-Еврознак, 2016. 651 с.
11. Харьков Е.И., Давыдов Е.Л. Особенности качества жизни и психологические характеристики больных пожилого и старческого возраста с заболеваниями сердечно-сосудистой системы и пути коррекции последних. Российский кардиологический журнал. 2010;15(3):53-57
12. Haynes R.B. Compliance in Health Care. Haynes R.B., Sackett D.L., Taylor D.W., editors. Baltimore: Johns Hopkins University Press, 1979. 516 p.
13. Hill M.N., Miller N.H. Compliance enhancement. A call for multidisciplinary team approaches. Circulation. 1996;93(1):4-6. DOI: 10.1161/01.cir.93.1.4.
14. Hogan T.P., Award A.G., Eastwood R. A self-report scale predictive of drug compliance in schizophrenics: reliability and discriminative validity. Psychol Med. 1983;13(1):177-183. DOI: 10.1017/s0033291700050182
15. Horne R., Weinman J., Hankins M. The Beliefs about Medicines Questionnaire: the development and evaluation of treatment: reliability a new method for assessing the cognitive representation of medication. Psychology & Health. 1999;14(1):1-24. DOI: 10.1080/08870449908407311
16. Montalto M., Dunt D., Vafiadis R. Disease prevention and health promotion activity during consultation by private and community health centre general practitioners. Australian Journal of Primary Health. 19968;2(1):41-47. DOI: 10.1071/PY96006
17. Neutel J.M., Smith D.H.G. Improving patient compliance: a major goal in the management of hypertension. J Clin Hypertens (Greenwich). 2003;5(2):127-132. DOI: 10.1111/j.1524-6175.2003.00495.x
18. Ostberg L., Blaschke T. Adherence to mdication. N Engl J Med. 2005;353(5):487-497. DOI: 10.1056/NEJMra050100.
19. Peabody J.W. An Organizational Analysis of the World Health Organization: Narrowing the Gap between Promise and Performance. Soc Sci Med. 1995;40(6):731-742. DOI: 10.1016/0277-9536(94)00300-i
Review
For citations:
Gruzdeva A.A., Ilyin M.V. Compliance, social and psychological profile and satisfaction with cardiological care during in-patient hospitalization in elderly and senile patients. Kursk Scientific and Practical Bulletin "Man and His Health". 2020;(1):4-12. (In Russ.) https://doi.org/10.21626/vestnik/2020-1/01
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