32 / 32
Page 75
Notes:
International Journal of Emergency Mental Health and Human Resilience | ISSN: 1522-4821 | Volume: 20
July 25-26, 2018 | Vancouver, Canada
Psychiatric & Mental Health Nursing
14
th
World Congress on
Mental Health and Wellbeing
5
th
World Congress on
&
The patient-doctor concordance on perceived psychological service needs in chinese hospitalized
patients
Zihan Liu
Mental Health Center of West China Hospital, China
P
urpose To assess the subjective concordance on psychological service needs in hospitalized patients between patients and
doctors in China.
Methods:
A cross-sectional study was performed in one day. All hospitalized inpatients from selected departments of West
China Hospital were recruited as potential participants. A questionnaire set including demographic variables as well as the
PHQ-9 and GAD-7 questionnaires were completed by the included patients. They and their doctors in-charge were asked
whether they perceived the patients need psychological services..
Results:
The overall response rate in patients was 84.25% and the final sample consisted of 1273 patients. Among those,
605 patients (47.53%) believed that they needed psychological services, whereas only 345 patients (27.10%) were in need for
psychological services according to the evaluation of their doctors. Kappa statistics showed that the concordance rate between
patients and doctors was low in the total patient group (kappa=0.055) as well as in the group of patients with significant
depression or anxiety (kappa=0.080). A logistic regression analysis showed that the ward where the patients were treated at the
time was related to a consistent recognition of psychological needs(OR=1.667).
Conclusion:
The concordance between psychological service needs perceived by patients and evaluated by doctors in Chinese
inpatients was low. Therefore, it seems necessary to develop some effective strategies to improve the detection rate, such as the
use of screening-instruments and the training of health professionals in the detection of psycho-social distress.
Biography
Zihan Liu is a medical student who has a great interesting in mental health.Improving the mental health and wellbeing of human is her mission and passion of a
lifetime. She graduated from West China Hospital, Sichuan University. She is going to pursue PhD majoring in clinical psychology in the U.S. She has a very good
insight of clinical problems and outstanding creation ability among her peers. Her research about doctor-patient coherence on perceived psychological service
needs in Chinese patients did a professional work on investigating and analysing the clinical psychological service situation in many non-psychiatry departments,
which shed lights on the wellbeing improvement of inpatients.
t1521981446@126.comZihan Liu, IJEMHHR 2018, Volume: 20
DOI: 10.4172/1522-4821-C3-017