Ispitivanje nivoa informisanosti o bolesti i nivoa zadovoljstva kvalitetom pruženih usluga zdravstvene nege, lečenjem i edukacijom bolesnika sa infarktom miokarda

Abstract

Introduction. Cardiovascular diseases are the leading causes of illness, absence from work, disability and premature mortality in all countries of Europe. This trend is unfortunately the same around the world. Objective is to examine the level of awareness on the disease by health workers and the level of satisfaction with the quality of the pro­vided health care services, treatment and edu­cation of patients with myocardial infarction. Methods. A retrospective-prospective study was conducted, designed as a cross-sectional study. The survey used the following: Socio demographic questionnaire, Questionnaire for assessment of health status, life habits, co­morbidities and characteristics of the illnesses of patients, Health Survey-SF-36 and Ques­tionnaire on information and interest of AMI patients for acquiring knowledge about their health care. Statistical analysis of data was made using the SPSS statistical software. Results. The study covered 175 respondents, 68% of respondents stated that it was fully informed by health professionals about their illness, 22,9% were partially, while the remain­ing 9,1% of respondents were not informed at all. A statistically significant difference in patient information was observed (x2=32,488; p=0,001), with a significantly higher number of elderly respondents who were partially or fully informed (55,1%) compared to the young­er group of respondents (36%), and statistical­ly significant difference was noticed in relation to gender. The quality of the services provided is satisfied with 83,4% of the respondents, the elderly (50,9%) are satisfied with the younger ones (32,6%), but the difference is not statis­tically significant. There was no statistically significant difference between the two groups of respondents of different sexes in relation to satisfaction with the quality of services provid­ed in the hospital. Most respondents (89,7%) think that nurses pay enough attention to their education and treatment, where there is no statistically significant difference between the groups of respondents compared to age and gender. Discussion. About two-thirds is fully, about one fifth is partly and about one tenth is not fully informed about their illness by health workers. Compared to age, there was a high statistically significant difference in terms of information, with significantly higher number of elderly respondents being partially or fully informed compared to younger ones, and statistically significant difference was noticed in relation to gender. The quality of services provided is satisfactory in about 80%, the older are satisfied with the younger ones, but the difference is not statistically significant, and there is no statistically significant difference in relation to gender. Approximately 9% of them think that nurses pay enough attention to their education and treatment, and there is no statistically significant difference in relation to age and gender. Conclusion. Regarding the level of informa­tion about their illness by health workers, the majority of respondents, about two-thirds said that it is completely, about one fifth, partly, and about one tenth, that they are not informed at all about their illness by health workers. Com­pared to age, a statistically significant difference was observed in terms of information, with a significantly higher number of respond­ents of the elderly who were partially or fully informed compared to the younger group of respondents, and statistically significant dif­ference in terms of information was noticed in relation to gender. Most patients with myocar­dial infarction are satisfied with the quality of hospital care and attention given to their education and treatment by nurses, but there is no statistically significant difference in relation to age and gender.