ДО ПИТАННЯ ОЦІНКИ ЯКОСТІ УМОВ ПЕРЕБУВАННЯ ПСИХІЧНО ХВОРИХ У ЛІКУВАЛЬНИХ ЗАКЛАДАХ В УМОВАХ СТАЦІОНАРУ ЗА ОПИТУВАННЯМ ЇХНІХ РОДИЧІВ

Abstract

The article presents the results of a sociological survey of relatives of patients with mental disorders to assess the sanitary and hygienic conditions of patients in psychoneurological hospitals, determine their satisfaction with the provision of medical services to patients, establish the stigma of medical staff and their sick relatives, and evaluate their proposal to improve the hospital. According to the results of the survey of relatives of the mentally ill, 32,6% of patients have referred without a referral, given their awareness of extremely unsatisfactory sanitary and hygienic conditions in the hospital and the lack of trust on their part and their relatives to the medical staff who served them Previously, 74,1% of male relatives and 66,2% of female relatives responded to inpatient treatment, which encourages patients and their relatives to seek medical help only in case of exacerbation of the disease, deterioration of health. Non-compliance with the normative area per patient, the distance of bathrooms and showers from wards at a distance of more than 25 m, outmoded decrepit equipment (furniture, cabinets, etc.) in the hospital of psychoneurological hospitals causes special dissatisfaction of relatives (77,3% of respondents) as extremely unsatisfactory -hygienic conditions are dangerous in epidemic terms – on the one hand, the long-term stay of mentally ill people in the hospital (this figure in Ukraine is 1,7-2,5 times higher than in European countries.) There are 27 state mental health centers in the Republic of Poland, which provide free psychiatric care to every Pole, so there is no need to hospitalize patients for continued stays in psychiatric wards. In these centers, 70% of mental health counseling has been providing by psychiatrists. According to the results of the survey, relatives of patients have spending money on food in 96% of cases, on medicines for the treatment of patients in the hospital up to 85,3%, on personal hygiene products 81,3% of respondents. It is necessary to implement European requirements in the standardization of design of these institutions in Ukraine and to develop additions to the State building norms "Health care facilities" for construction of a new type – "Mental Health Centers" to improve the quality of psychiatric care and speed recovery of Ukrainian patients in health care facilities psychoneurological health.