Hospital Questionnaire Research Articles

Perceived Competition and Process of Care in Rural China.

PurposeAlthough there is much debate about the effect of hospital competition on healthcare quality, its impact on the process of care remains unclear. This study aimed to determine whether hospital competition improves the process of care in rural China.Patients and MethodsThe county hospital questionnaire survey data and the randomly sampled medical records of bacterial pneumonia patients in 2015 in rural area of Guizhou, China, were used in this study. The processes of care for bacterial pneumonia were measured by the following three measures: 1) oxygenation assessment, 2) antibiotic treatment, and 3) first antibiotic treatment within 6 hours after admission. Hospital competition was measured by asking hospital directors to rate the competition pressure they perceive from other hospitals. Multivariate logistic regression models were employed to determine the relationship between perceived competition and the processes of care for patients with bacterial pneumonia.ResultsA total of 2167 bacterial pneumonia patients from 24 county hospitals in 2015 were included in our study. Our results suggested that the likelihood of receiving antibiotic treatment and first antibiotic treatment within 6 hours after admission was significantly higher in the hospitals perceiving higher competition pressure. However, no significant relationship was found between perceived competition and oxygenation assessment for patients with bacterial pneumonia.ConclusionThis study revealed the role of perceived competition in improving the process of care under the fee-for-service payment system and provided empirical evidence to support the pro-competition policies in China’s new round of national healthcare reform.

Prevalence of depression and associated factors among HIV/AIDS patients attending antiretroviral therapy clinic at Dessie referral hospital, South Wollo, Ethiopia

IntroductionDepression is one of the common mental health disorders and predicted to be the second cause of the global health burden by the year 2020. Depression in HIV patients may lead to poor engagement to their HIV care which may finally result in poor treatment outcomes. Therefore, the aim of this study was to assess the prevalence of depression and associated factors among HIV/AIDS patients on ART at Dessie referral hospital.MethodsAn institution based cross-sectional study was conducted among 395 HIV positive adult patients on antiretroviral treatment from November to January 2019. The study participants were selected by using the systematic random sampling technique among patients who visited the antiretroviral (ART) clinic in the hospital and standardized Patients Health Questionnaire (PHQ-9) was used to measure depression. Descriptive statistics like percentage, median with interquartile range (IQR) was computed and presented in the form of text and table. Binary logistic regression model was fitted to identify factors associated with depression. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to identify factors associated with depression.ResultThe prevalence of depression was found to be 20% with (95% CI 16.2, 23.8). Age group of 25–34 years (AOR = 6.58, 95% CI 1.11, 38.9), widowed marital status (AOR = 7.05, 95% CI 2.32, 21.38), perceived stigma (AOR = 2.43, 95% CI 1.13, 5.21)], had opportunistic infections [AOR = 4.96, 95% CI (1.05, 23.34)], HIV non-disclosed HIV status (AOR = 6.34, 95% CI 1.34–29.65), poor and fair drug adherence (AOR = 7.1, 95% CI 2.06, 24.44), CD4 count ≤ 200 (AOR = 5.38, 95% CI 2.37–12.23) were factors significantly associated with depression.ConclusionThe magnitude of depression was relatively lower than the pooled estimates for Ethiopia. Perceived stigma, younger age, widowed, being symptomatic, fair and poor adherence, recent opportunistic infection, low CD4 count, and HIV status not disclosed were positively associated with depression. This finding suggests the integration of mental health care with antiretroviral therapy and the special emphasis ought to be given for those at higher risk of depression.

Risk of COVID-19 infection in MS and neuromyelitis optica spectrum disorders.

ObjectiveDisease-modifying drugs (DMDs) may alter the immune status and thus increase the susceptibility to coronavirus disease 2019 (COVID-19) in patients with MS or neuromyelitis optica spectrum disorders (NMOSD). However, evidence supporting this notion is currently lacking. In this study, we conducted a survey on the risk of COVID-19 in patients with MS and NMOSD.MethodsThe survey was conducted through the Chinese Medical Network for Neuroinflammation. Patients in 10 MS centers from 8 cities including Wuhan were included. Information about MS and NMOSD disease duration and the usage of DMDs were collected. Data of suspected cases of COVID-19 were obtained from hospital visits, questionnaires, and patient self-reporting. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection was confirmed through clinical evaluation by a panel of experts in conjunction with chest CT and viral RNA detection.ResultsEight hundred eighty-two of 1,804 (48.89%) patients with MS and 2,129 of 3,060 (69.58%) patients with NMOSD were receiving DMDs. There were no alterations in the patients' DMD regimen during January 15, 2020, to March 15, 2020, the 3-month period. None of the patients with MS treated with DMDs had COVID-19. However, 2 patients with relapsing NMOSD were diagnosed with COVID-19-related pneumonia. After treatment, both patients recovered from pneumonia and neither patient experienced new attacks due to predisposing SARS-CoV-2 infection in the following 2 months.ConclusionsNo increased risk of COVID-19 infection was observed in patients with MS or NMOSD, irrespective of whether these patients received DMDs. A battery of stringent preventive measures adopted by neurologists to reduce COVID-19 infection in these patients may have contributed to low risk of COVID-19 infection.

P-02-71 Clinical and Psychological Characteristics of Men With Primary and Secondary Couple Infertility

To assess clinical and psychological parameters, and their associations, in men with primary and secondary infertility and fertile men. 580 males of infertile couples (38.0±5.8years) and 115 fertile men (36.6±5.3years) were studied. All subjects underwent, during the same day, clinical evaluation and psychological assessment with Middlesex Hospital Questionnaire (MHQ) (total and subdomains score(ss)). Patients had already undergone at least one semen analysis before and were aware of their sperm quality. Among males of infertile couples, 494 (85.2%) reported primary infertility (group#1) and 86 (14.8%) secondary infertility (group#2). Group#3 (control group) was made up of 115 fertile men. Group#1and#2 showed higher cryptorchidism frequency and gonadotrophins and lower mean testicular volume than group#3, while group#1 higher FSH levels and lower mean testicular volume than group#2. Group#3 showed better semen parameters than group#1and#2, while group#1 lower total sperm count and higher azoospermia prevalence than group#2. Infertility duration was not different between group#1and#2. However, group#2-with-miscarriages showed higher female partner's age and infertility duration than group#1. In group#1, infertility duration was positively associated with male age (particularly≥42years).

High-dose 131I-metaiodobenzylguanidine therapy in patients with high-risk neuroblastoma in Japan.

The aim of the study was to investigate the outcomes and prognostic factors of high-dose 131I-metaiodobenzylguanidine (131I-MIBG) therapy in patients with refractory or relapsed neuroblastoma (NBL) in Japan. We retrospectively analyzed 20 patients with refractory or relapsed high-risk NBL who underwent 131I-MIBG therapy with an administration dose ranging from 444 to 666MBq/kg at Kanazawa University Hospital, Japan, between September 2008 and September 2013. We focused on measurements regarding their initial responses, prognostic factors, survivals, and toxicities following 131I-MIBG therapy using our hospital data and questionnaires from the hospitals that these patients were initially referred from. Furthermore, we performed Kaplan-Meier survival analysis to evaluate event-free survival (EFS) and overall survival (OS). In 19 patients with complete follow-up data, the median age at first 131I-MIBG treatment was 7.9years (range 2.5-17.7years). Following 131I-MIBG therapy, 17 of the 19 patients underwent stem-cell transplantations, and their treatment response was either complete (CR) or partial (PR) in three and two cases, respectively. The EFS and OS rates at 1year following 131I-MIBG therapy were 42% and 58%, respectively, and those at 5years following 131I-MIBG therapy were 16% and 42%, respectively. Using the two-sample log-rank test, the OS time following 131I-MIBG therapy was significantly longer for < 3-year time interval between the initial diagnosis and 131I-MIBG therapy (p = 0.017), Curie score < 16 just before 131I-MIBG therapy (p = 0.002), without pain (p = 0.002), without both vanillylmandelic acid (VMA) and homovanillic acid (HVA) elevation (p = 0.037) at 131I-MIBG therapy, and with CR or PR following 131I-MIBG therapy (p = 0.015). Although severe hematological toxicities were identified in all 19 patients, severe nonhematological toxicity was not recorded in any patient, except for one patient with grade 3 anorexia and nausea. High-dose 131I-MIBG therapy in patients with refractory or relapsed high-risk NBL can provide a favorable prognosis without severe nonhematological toxicities. Better prognosis may be anticipated in patients with the initial good response, no pain at 131I-MIBG therapy, no VMA and HVA elevation at 131I-MIBG therapy, low Curie score (< 16) just before 131I-MIBG therapy, and short time interval (< 3years) between the initial diagnosis and 131I-MIBG therapy.

Staff nurses’ knowledge and attitude toward the concept of palliative care; Fatin Abusyriah RN BSN, abdelqader tayyem RN MSN questionnaire in a quaternary central hospital

Background: Palliative care sometimes perceived as hastening death or care delivered when active treatment failed. Nurses play a significant role in providing palliative care, but nurses, as well as other health care worker, need training about palliative care in order to achieve the intended goals. Aim: Explore the level of knowledge and attitude for the staff in King Saud Medical City (KSMC) Riyadh, Saudi Arabia toward palliative care. Method: A quantitative, cross-sectional study, 323 questionnaires were completed by the staff nurses covering medical-surgical, oncology and ICU. The tool consists of demographical data, Palliative Care Quiz for Nursing(PCQN), Frommlet Attitudes Toward Care of Dying (FATCOD) scale. Result: Poor knowledge toward palliative care founded among respondent PCQN mean total score (9.229) out of 20 SD (2.402) while Moderate attitude showed FATCOD mean total score 97.817 out of 150, SD (8.325). The area of assignments significantly affects the Knowledge of the staff; oncology unit reported higher score than the other areas, right knowledge has been shown, mean score for oncology unit (11.36), SD (3.53). Conclusion: Institutional strategy has to be implemented in the Middle East a to improve the palliative care services, palliative care nursing education has to be added to the undergraduate curricula in every nursing school, formal training and courses for post graduated nurses is necessary.

Using telemedicine to improve access, cost and quality of secondary care for people in prison in England: a hybrid type 2 implementation effectiveness study

IntroductionPeople in prison tend to experience poorer health, access to healthcare services and health outcomes than the general population. Use of video consultations (telemedicine) has been proven effective at improving...

Assessment of Factors Affecting Vaccine Cold Chain Management Practice in Bahir Dar City Health Institutions, 2019

Background: Vaccines are the only essential commodities that required their own specific supply chain system with storage of 2°C to 8°C. It is critical that they should be kept at appropriate temperatures during transit and storage. Objective: The purpose of this study was to assess vaccines’ cold chain management practice at public health facilities in Bahir Dar City health institutions. Methods: Institutional based cross-sectional study was conducted from January 5 to January 12 2019 in Bahir Dar City, Amhara Regional State, and Northwest Ethiopia. The information was collected by an interviewer administered, pre–tested and structured questionnaire in health center and hospital in Bahir Dar city. Data was entered and analyzed using SPSS version 20 software. Descriptive statistics and Logistic regression analysis were carried out to identify factors related to the practice of cold chain management. Result: From a total of health facility 9 (64.3%) had functional thermometer, 14 (100%) had an electrical power source refrigerator, and 10 (71.4%) had functional generator for backup service. 9 (64.3%) had guide line in the facility. From a total of health facility 10 (71.4%) had monitor temperature twice daily in there facility. Among the factors, only work experience and level of knowledge on vaccine cold chain management had a statistically significant association with the practice of health workers on cold chain management. The adjusted model indicated that respondents who had good level knowledge were 2.6 times more likely to have proper cold chain management practice as compared with those who had not. Health workers whose work experience more than two years were about 5 times more likely to have proper practice on cold chain management compared to their counterpart with 95% 5.2 (1.4 -19.14) and 95% 1.97 (0.77-5.03). Conclusion and recommendation: Respondents had adequate knowledge and the cold chain equipment was not in a good condition and we would like to recommend On-going follow up should be given to continue their strength

Health care in the prenatal and childbirth context from puerperal women's perspective.

to investigate puerperal women who received guidance on childbirth during prenatal care and the behaviors experienced in the labor process within the context of good obstetric practices from the perspective of puerperal women. a descriptive cross-sectional quantitative study conducted with 203 puerperal women admitted to the shared rooms of a teaching hospital between May and July 2017 during the immediate postpartum period. For data collection, was used an instrument adapted from the hospital questionnaire for puerperal women that was developed by the Oswaldo Cruz Foundation. only 48.3% of puerperal women received the eight orientations regarding good obstetric practices during prenatal care, which were not experienced in the labor process, especially regarding referral and behaviors of the hospital team. Unfavorable socioeconomic conditions were significant in relation to guidelines provided during prenatal care. prenatal care was negatively evaluated and there was lack of compliance with good obstetric practices and non-recommended behaviors in the labor process in the maternity ward.

Validation of the patient measure of safety (PMOS) questionnaire in Australian public hospitals.

Patients can provide a unique perspective on the safety of care in hospitals. Understanding that the extent to which the way hospitals are organized for quality and safety is associated with patient perceptions of care is becoming increasingly valued and necessary for the direction of targeted interventions across healthcare systems. The UK-developed patient measure of safety (PMOS) assesses eight domains of ward safety from the patient point of view and has recently been adapted and piloted in Australia. The aim of this study is to test the psychometric properties of PMOS-Australia (PMOS-A) amongst a large cohort of hospitalized patients. Cross-sectional questionnaire validation assessment. As part of the DUQuA project, the PMOS-A survey was distributed within acute myocardial infarction, hip fracture and stroke departments across 32 large public hospitals in Australia. Patients could complete the PMOS-A independently, or request the assistance of a family member/guardian, or staff on the wards-space was included to record mode of completion. Confirmatory factor analysis (CFA) was undertaken on a calibration sample to generate the model, and a validation sample was used to cross-validate the model. A subset of only those participants who received assistance for PMOS-A completion was also tested using CFA on a calibration and validation sample. Model fit indices (chi-square to degrees of freedom ratio [Chi-square:DF], root mean square error of approximation [RMSEA], comparative fit indices [CFI], standardized root mean squared residual [SRMR]), Cronbach's α, average inter-item correlations, construct reliability and cross-loadings were examined with reference to recommended thresholds to establish the extent of convergent validity and discriminant validity. A marker of criterion validity was assessed through testing associations between the PMOS-A and adherence to clinical guidelines. Across the calibration and validation samples of the full (N=911) and assisted completers only subset (N=490), three (Chi-square:DF, SRMR, RMSEA) of the four indices consistently or almost always met thresholds for acceptable model fit. CFI indices did not meet the recommended limits (0.72-0.78, against a target > 0.9). Positive relationships were found for all tests between PMOS-A and adherence to clinical guidelines, and these were significant when assessed in the calibration datasets for the full and assisted completion samples. A sufficiently reliable and valid measure of patient perceptions of safety has been developed. These findings should provide adequate support to justify the use of this measure to assess patient perceptions of safety in Australian hospitals and can be modified for use elsewhere.

Analysis of affecting factors on patient safety culture in public and private hospitals in Iran

BackgroundPatient safety culture is one of the main components of the quality of health services and is one of the main priorities of health studies. Accordingly, this study aimed to determine and compare the views of healthcare staff on the patient safety culture and the impact of effective factors on patient safety culture in public and private hospitals in Tehran, Iran.MethodsThis cross-sectional study was carried out on a sample of 1203 health care workers employed in three public and three private hospitals in Tehran, Iran. Stratified random sampling was used in this study. Data were collected using the Maslach burnout inventory and patient safety culture questionnaire (HSOPSC). IBM SPSS v22 and Amos v23 were used to perform path analysis.ResultsEight hundred sixty-seven (72.57%) females and 747 (27.43%) males with a mean age of 33.88 ± 7.66 were included. The average percentage of positive responses to the safety culture questionnaire in public and private hospitals was 65.5 and 58.3%, respectively. The strengths of patient safety culture in public hospitals were in three dimensions including non-punitive response to errors (80%), organizational learning—continuous improvement (79.77%), and overall perceptions of patient safety (75.16%), and in private hospitals, were three dimensions including non-punitive responses to errors (71.41%), organizational learning & continuous improvement (69.24%), and teamwork within units (62.35%). The type of hospital and work-shift hours influenced the burnout and patient safety questionnaire scores (P-value < 0.05). The path analysis results indicate the fitness of the proposed model (RMSEA = 0.024). The results showed a negative impact of a work shift (β = − 0.791), occupational burnout (β = − 0.554) and hospital type (β = − 0.147) on the observance of patient safety culture.ConclusionProviding feedback on errors and requirements for the frequent incident reporting, and patient information exchange seem necessary to promote the patient safety culture. Also, considering the negative impact of the shift work and burnout on patient safety culture, by planning and managing these factors appropriately, correct actions could be designed to improve the safety culture.

Why Z-drugs are used even if doctors and nurses feel unable to judge their benefits and risks\u2014a hospital survey

BackgroundMany patients receive Z-drugs for hospital-associated sleep problems, in spite of well-known risks. The aim of this study was to learn more about the attractiveness of Z-drugs, seen from the doctors’ and nurses’ perspective.MethodsUsing a standardized questionnaire, doctors (63/116) and nurses (73/243) in a German general hospital were surveyed about the risks and benefits of Z-drugs, compared with benzodiazepines.Result“Reduced time to get to sleep” was perceived by doctors (51%) and nurses (53%) to be a strong benefit of Z-drugs; “confusion” and “falls” were perceived by ca. 10% of doctors and ca. 15% of nurses to be a frequent problem. Compared with benzodiazepines, respondents more often answered “unable to judge” for Z-drugs; e.g. for doctors, 18% (benzodiazepines) vs. 45% (Z-drugs) were unable to judge “improved daytime functioning” and 12% (benzodiazepines) vs. 37% (Z-drugs) were unable to judge “falls.”ConclusionZ-drugs seem to be attractive because experiential knowledge overemphasizes their benefits and fails to take risks such as drug-related falls and confusion into account. Difficulties to judge a drug’s risk-benefit ratio do not prevent doctors and nurses from using them. Interventions for reducing Z-drug usage should incorporate local quality assurance data about relevant patient risks.

2034. Standardized Point Prevalence Survey on Antibiotic Use to Inform Antimicrobial Stewardship Strategies in the Caribbean

BackgroundInappropriate use of antimicrobials is one of the core contributors to antimicrobial resistance. While hospitals create high selection pressures on bacteria due to the high quantity and broader spectrum of antibiotics used, information on antimicrobial use at the patient level in the Caribbean is sparse. In response, PAHO implemented a standardized WHO methodology to engage national leaderships, build local capacity, and facilitate the use of data to inform antimicrobial stewardship programs (ASP) in the Caribbean.MethodsPoint prevalence surveys (PPS) were performed in four acute care hospitals in Barbados, Guyana and Saint Lucia between June and July 2018. Medical records of all inpatients were reviewed to collect information on antibiotic use, indications and use of laboratory services (Figure 1). A hospital questionnaire was used to assess hospital infrastructure, policy and practices, and monitoring and feedback systems (Figure 2). Training on PPS methods and electronic data collection tool in REDCap™ were provided to build local capacity and identify potential ASP leaderships. A standardized data validation, analysis and reporting system was built in R to streamline the process. Results and recommendations were disseminated to national authorities and stakeholders to support hospital and national decision-making and training for healthcare providers (Figure 3).ResultsA total of 60 physicians, nurses, pharmacists, laboratory technicians, and infection control specialists were trained and participated in the PPS. The survey collected records of 816 patients in which 442 (54%) were females and 374 (46%) were males. In total, 356 (44%) patients received 551 antibiotics. Overall, 300 (75%) of 398 indications for antibiotic use were treatment and 72 (18%) were prophylaxis. A higher use of parenteral antibiotics (79%) was observed compared with oral antibiotics (21%). Antibiotic prescribing patterns differed across hospitals. The most commonly used antibiotics were metronidazole (12%) and amoxicillin/clavulanate (11%).ConclusionThe PPS method provided a feasible and effective way to collect baseline data and identify target areas for interventions. Engaging national leaderships and building local capacity offered a sustainable way in optimizing antimicrobial use in resource-limited settings. Disclosures All authors: No reported disclosures.

Analysis of subjective evaluations of patients in the general characteristics of the quality of care

The purpose of the study is to check at a representative level of the components validity of the standard evaluation tools offered by the Ministry of Health of the Russian Federation: methods and primary documents (questionnaires) for an independent system of quality assessment by patients municipal) institutions providing services in the field of health”) and an assessment of the activities of specific medical organizations or stages of medical care (MP), work ersonala. Materials and methods. The study was conducted by questionnaire in the Karabulak city hospital of the Republic of Ingushetia. The sample set formed by the method of random selection of 305 respondents (138 at the polyclinic and 167 at the hospital) complies with the requirements of ensuring the average accuracy of the result. The study used two questionnaires: for the outpatient unit (hereinafter referred to as the polyclinic) and for the inpatient department, based on the sample questionnaires proposed by the Ministry of Health of the Russian Federation municipal) institutions providing health care services. In addition to the standard questionnaire, two classification criteria – gender and age of respondents – were entered into the questionnaires. Results and conclusions. Based on the analysis of the questionnaires for the study of patient satisfaction with outpatient and inpatient care, we were able to obtain an overall favorable picture of the organization of the treatment and diagnostic process in a particular hospital. Regarding the questionnaires themselves, in our opinion, they do not yet allow the obtained information to be taken to the level of judgments, especially official ones, taken into account when making management decisions and in the existing ratings of the evaluation of medical organizations, the health system in the region, and the efficiency of the governing bodies at any level.

Masturbation is associated with psychopathological and reproduction health conditions: an online survey among campus male students

In order to investigate the association between masturbation and psychopathological and reproduction relative conditions, an online survey was conducted among campus male students of Zhejiang University, which comprised of basic personal information, and questions for reproduction related health, masturbation frequency, and psychological well-being. Psychological status was evaluated with Middlesex Hospital Questionnaire (MHQ). The psychological and reproduction health related parameters were compared among the groups divided according to masturbation frequency. Finally 143 students were included in analysis. Floating anxiety, somatic, and hysteric scores were significantly associated with masturbation, with higher scores in group with highest masturbation frequency; masturbation is significantly associated with fatigue, soreness and weakness of the lumbar region, memory decline, immunity decline, insomnia dreaminess and gradual increase of frequency of masturbation, and the rates of most of the reproduction related symptoms increased accompanying the increase of the masturbation frequency. MQH scores of obsession, phobic anxiety, and depression were not associated with masturbation. It was concluded that masturbation may adversely affect psychological health as well as reproductive well-being.

Long-term exposure to residential greenness and development of hypertension in Stockholm County

TPS 702: Green space and population health, Exhibition Hall, Ground floor, August 28, 2019, 3:00 PM - 4:30 PM Background/Aim: Experimental and observational studies occasionally report associations between urban greenness exposure and blood pressure levels. These findings are, however, inconsistent and few longitudinal studies exist. We report from an ongoing study of the association between objectively measured exposure to residential greenness and the development of hypertension, in a longitudinal setting. Methods: Based on the Stockholm Diabetes Prevention Program (SDPP) cohort, our study includes 3,493 normotensive subjects from Stockholm County aged 35-56 years at recruitment in 1992-1994. These were followed up 2002-2006 and 123 incident cases of hypertension were identified. Hypertension was defined as 140/90 mmHg or higher. We defined surrounding greenness as a time-weighted average of satellite-based Normalized Difference Vegetation Index (NDVI) at 30 m×30 m resolution during 1990-2015 in buffers of 250 m and 500 m around participants’ residential addresses. The association between NDVI and development of hypertension was estimated using Poisson regression models with adjustment for potential confounders at individual and contextual level. We also investigated NDVI in combination with exposure to different environmental factors. Ongoing analyses also include information from hospital register and questionnaires in relation to NDVI exposure during of 1, 5 and 10 years prior to diagnosed hypertension, analysed using Cox regression models. Results: No overall association between NDVI and development of hypertension was observed (IRR 0.98, 95% C.I. 0.76; 1.27, using the 500 m buffer). Analyses of combined exposures to low levels of NDVI, high levels of air pollution (NOx), transportation noise and long distance to water indicated positive associations, in particular low levels of NDVI and high levels of NOx appeared to be associated with development of hypertension among men. Conclusion: Preliminary investigations did not indicate any association between long-term greenness exposure and development of hypertension, but accentuated the importance of further investigations, in particular on effect modification by other environmental exposures.

Validación transcultural al español del cuestionario Patient Evaluation of Emotional Care During Hospitalisation

IntroductionThe emotional experience of patients must be ascertained to ensure patient-centred care during hospitalisation. Improving this experience has a positive impact on patient prognosis. Therefore, in order to provide comprehensive care, therefore, patient emotional care needs must be known. The objective of this study was to produce a transcultural translation and validation of the Patient Evaluation of Emotional Care during Hospitalisation (PEECH) questionnaire. Material and methodThe PEECH consists of three sections resulting in four subscales: level of security, level of knowledge, level of personal value, and level of connection. The questionnaire was translated into Spanish. An expert panel revised the translation until they were satisfied with the outcome. It was then back-translated and submitted to the author for approval. For its validation, 132 hospitalised patients completed the questionnaire. Expert judgement was used to analyse the content validity and factor analysis in order to confirm the construct validity. The Cronbach alpha coefficient was used to measure the internal consistency of the four subscales. ResultsIn the confirmatory factor analysis of the four subscales, the weights of all questions were significant (>0.5), with the exception of Q7 (0.416) and Q18 (0.439), which nevertheless met the minimum interpretation level for the structure. In accordance with this criterion, the four subscales were justified. ConclusionThe Spanish version of the PEECH questionnaire is a valid and reliable tool to evaluate the perception of emotional care in hospitalised patients. The information gathered can contribute to providing comprehensive care for patients in hospital.

The impact of Hospital Accreditation on the patient's Experience of Hemodialysis Department: A Case Study

The excellence of hospital Hemodialysis Department (HD) Service is the one of the most relevant items of health care quality perceived by patients and by their families. Patients experience is considered a way of measuring the quality of services provided. Objectives: To study the impact of National Accreditation Board for Hospitals & Healthcare Providers (NABH) Accreditation, India on the patients experience of Hemodialysis Department services. Methods: It is a quantitative, descriptive and inferential research based case study in which sample of a population was studied by structured patients experience survey questionnaires (before and after the accreditation) in a private tertiary care hospital at Secunderabad, Telangana State, India to determine its characteristics, and it is then inferred that the population has the same or different characteristics. Significance of Research: It was observed initially before the accreditation that there was a lower patient’s experience rate of the hospital Hemodialysis Department Services, which was affecting the study hospitals’ business. Hypothesis: Null Hypothesis (Ho) and Alternative Hypothesis (H1) were used and tested to compare the before and after impact of accreditation by applying to each question in the questionnaire. Study Design: The closed ended questionnaire was developed considering the Hemodialysis Department Services by incorporating the six dimensions of quality Safe, Timely, Effective, Efficient, Equitable, and Patient-centred (STEEP) and tested prior to implementing. Questionnaires were given to the patients' families for completion upon using the Hemodialysis Department Services two months before and two months after the accreditation. The data were collected in order to cover all three shifts of the Hemodialysis Department Services. Study Population: Simple random sampling method was selected; the researcher had involved all conscious patients (clinical conditions) from all age groups. Data Collections: Primary data were collected from the survey questionnaires. Secondary data were collected from relevant published journals, articles, research papers, academic literature and web portals. Conclusion: The patient’s experience score has improved from before accreditation compared to after accreditation which indicated that the accreditation has a positive impact on the patient’s experience of Haemodialysis Department Services of the study hospital.

The comparative analysis of questionnaires of evaluation of life quality of patients with tuberculosis of lungs in process of applied treatment

Nowadays, tuberculosis continue to be one of actual problems of health care. The increasing of effectiveness of modern anti-tuberculosis therapy permitted to decrease mortality of patients with tuberculosis of lungs and to focus attention on problem ofprevention of their disablement. The purpose of study is to carry out comparative analysis of questionnaires for evaluating quality of life ofpatients with tuberculosis of lungs in process of successfully implementing of treatment with the view of selecting questionnaire most completely reflecting occurring alterations. The sampling of 42 patients with tuberculosis of lungs was examined at stage of completion of implemented treatment. All patients were applied spirometry. The following questionnaires were applied to analyze quality of life: SF-36, the Saint George hospital questionnaire (SGRQ) and questionnaire of chronic respiratory diseases (CRQ). The study was carried out twice in process of effective treatment with two months interim. The sensitivity of questionnaires was determined by effect size calculated by formula: [(average value at first examination - average value at second examination)/standard deviation at first examination]. In the process of treatment all patients with tuberculosis of lungs attained significant amelioration of quality of life that was demonstrated in questionnaire of SF-36 by all components besides one that decreased its effectiveness. The size of alterations of quality of life according general value of CRQ was low and amounted to 0.27. The Saint George hospital questionnaire (SGRQ) had maximal sensitivity to positive alterations resulting of applied treatment (effect size 0.39-0.49 for components and 0.47 for total value). Therefore, it was recommended as a tool of evaluation of quality of life in patients with tuberculosis in processes of implementing treatment.

PS-06-004 Psychosexual correlates of unwanted sexual experiences in women consulting for female sexual dysfunction according to their timing across the life span

Our aim was to investigate the prevalence of unwanted sexual experiences (USEs) in a setting of female sexual dysfunction (FSD) and to examine whether they are associated with different psychosexual parameters depending on the timing of occurrence. A consecutive series of 200 heterosexual women attending our clinic for FSD was consecutively recruited. Patients underwent a structured interview and completed the Female Sexual Function Index (FSFI), the Middlesex Hospital Questionnaire (MHQ), the Female Sexual Distress Scale Revised (FSDS-R), the Body Uneasiness Test (BUT), and the Childhood Experience of Care and Abuse Questionnaire (CECA-Q). 47 women (23.5%) reported USEs, occurring in childhood (<14 years), adolescence (<17 and ≥14), and adult life (≥17) in 38.3% (n=18), 31.9% (n=15), and 29.8% (n=14) of cases, respectively. We observed an association between history of lifetime USEs and indexes of psychopathology, specifically diagnosis of psychiatric diseases, use of psychiatric medications, and anxiety symptoms (MHQ free-floating anxiety score, MHQ-A). USEs were associated with lower orgasm ability (FSFI orgasm domain), higher sexually related distress levels (FSDS-R total score), and higher body image concerns (BUT) including depersonalization symptoms. Notably, women exposed to USEs in adolescence reported a stronger impairment of arousal, orgasm, and satisfaction domains and higher sexual distress when compared to women without a history of USEs or reporting USEs in childhood. Women exposed to USEs in childhood exhibited higher body image concerns and depersonalization symptoms when compared to those not reporting USEs.