[Compliance of patients admitted with consent to psychiatric hospital].
OBJECTIVE
The aim of the study is to assess the interrelation between three earlier described types of consent to inpatient treatment and compliance as well as some aspects of patients' autonomy.


METHODS
200 inpatients admitted to four psychiatric hospitals were examined by means of a structured questionnaire. Persons with severe dementia, distorted intellectual contact, incompetent, as well as the juvenile were excluded.


RESULTS
The analyses of interrelation among the three groups of patients who gave their consent to treatment and compliance as well as other determinants of compliance indicated that: - All patients (100%) of the first group (informed consent) comply with the doctors' advice, in the second group (not capable to consent)--84 percent and in the third group (not asked about consent)--92 percent. - The patients of the 2nd and 3rd groups showed to have a lower level of compliance and other determinants of treatment such as need for treatment, confidence in doctor and other medical staff, satisfaction and others. - All groups of patients had a meaningless influence on choice of hospital, ward and kind of therapy.


CONCLUSIONS
The study proved that: -The patients have a very high rate of therapeutic compliance not only in observing treatment regimens, but also in self-reporting their needs for treatment, confidence in doctor and other staff, efficiency of medication as well as treatment satisfaction. - Compliance rates in patients who confirmed their informed consent treatment were significantly higher than these who had not been asked to give their consent to treatment, and those who had not been capable of expressing their informed consent to treatment. - The high rates of therapeutic compliance are associated with very limited autonomy concerning the choice of hospital, in inpatient ward and method of therapy.
Dabrowski
Stanisław
S
Z Instytutu Psychiatrii i Neurologii w Warszawie.
Brodniak
Włodzimierz A
WA
Welbel
Stefan
S
D000328:Adult; D005260:Female; D006801:Humans; D007258:Informed Consent / Q000706:statistics & numerical data*; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D010343:Patient Admission / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D026684:Personal Autonomy; D010817:Physician-Patient Relations; D011044:Poland; D011567:Psychiatric Department, Hospital; D011795:Surveys and Questionnaires; D016312:Treatment Refusal / Q000706:statistics & numerical data