Acta clinica Croatica, Vol. 56. No. 2., 2017.
Original scientific paper
https://doi.org/10.20471/acc.2017.56.02.04
Psychosocial Determinants of Satisfaction with Hospital Care in Adult Patients Suffering from Advanced Cancer
Maja Miljanović
; Agency for Quality and Accreditation in Health Care and Social Welfare, Department for Quality and Education, Zagreb, Croatia
Joško Sindik
; Institute for Anthropological Research, Zagreb, Croatia
Vibor Milunović
; Clinical Department of Hematology, Merkur University Hospital, Zagreb, Croatia
Vesna Kralj Škoc
; Clinical Department of Oncology, Zagreb University Hospital Centre, Zagreb, Croatia
Marijana Braš
; Clinical Department of Psychological Medicine, Zagreb University Hospital Centre, Zagreb, Croatia
Veljko Đorđević
; School of Medicine, University of Zagreb, Zagreb, Croatia
Jadranka Pavić
; University of Applied Health Sciences, Zagreb, Croatia
Lucijano Jakšić
; Agency for Quality and Accreditation in Health Care and Social Welfare, Department for Quality and Education, Zagreb, Croatia
Abstract
In this observational study, direct and indirect (moderator and mediator) relationships between sociodemographic (age, gender, life partner, education level, income and length of treatment) and psychological (Hospital Anxiety and Depression Scale, HADS) variables and satisfaction with hospital care (EORTC INPATSAT32) in adult (advanced cancer) patients were investigated. Study sample consisted of 75 hospitalized advanced cancer patients recruited at the Zagreb University Hospital Centre and Sestre milosrdnice University Hospital Centre in 2015. Statistically significant negative correlations were found between HADS and elementary school education level, as well as with all satisfaction variables (satisfaction with physicians, nurses and organization). Moderate to high and statistically significant positive correlations were found between elementary school level and all satisfaction variables. Gender and level of education appeared as significant moderator variables in the relationship between HADS and satisfaction with nurse care. There were no significant mediator effects of sociodemographic variables on the correlation between HADS and satisfaction with care. Male participants who were more disturbed emotionally were more satisfied with nurses. Participants with elementary and high school levels of education and lower scores on HADS were more satisfied with nurses, while participants with university level of education had higher HADS scores and lower level of satisfaction with nurses.
Keywords
Patient satisfaction; Psychosocial factors; Cancer
Hrčak ID:
186408
URI
Publication date:
1.6.2017.
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