Elderly Satisfaction and Related Factors from the Physical Structure of Kashan Hospitals

Fatemeh Sadat  Izadi-Avanji; Azam Fotovati; Mohsen Taghaddosi; Amene Taghdisi

doi:10.18502/jzms.v6i4.15494

Fatemeh Sadat Izadi-Avanji Associate Professor, Department of Adults and Geriatric Nursing, Trauma Nursing Research Center, School of Nursing, Kashan University of Medical Sciences, Kashan, Iran
Azam Fotovati MSc Student in Geriatric, Department of Adults and Geriatric Nursing, School of Nursing, Kashan University of Medical Sciences, Kashan, Iran
Mohsen Taghaddosi Professor, Department of Intensive Care and Emergency Nursing, School of Nursing, Kashan University of Medical Sciences, Kashan, Iran
Amene Taghdisi Assistant Professor, Department of Orthodontics, School of Dentistry, Kashan University of Medical Sciences, Kashan, Iran

DOI: https://doi.org/10.18502/jzms.v6i4.15494

Keywords: Ageing; Age-friendly health services; Hospitals; Satisfaction; Structure

Abstract

Background: Satisfaction of hospitalized elderly can indicate the success of health system in providing health care. The study aimed to determine the hospitalized elderly's satisfaction and related factors with the physical structure of hospitals affiliated to Kashan University of Medical Sciences, 2022.

Methods: This cross-sectional study was conducted on 650 elderly admitted to hospitals in Kashan from 2022 to 2023. Sampling was the Convenience method. The developed researchers' valid and reliable questionnaires were used to collect data. Data were analyzed with Pearson's correlation coefficient, independent
t-test, one-way analysis of variance (ANOVA), and linear regression tests in SPSS version 16.

Results: The mean age of the elderly was 71.7 ± 6.2 years. The mean score of elderly satisfaction was 24.6 ± 3.8 points on a scale of 0 to 45. The increasing age of the elderly had a statistically significant with the elderly satisfaction with the structure of hospitals (r = -0.12, P = 0.003). Multiple regression showed that the hospital specialization (P > 0.001) or being general (P > 0.001), marital status
(P = 0.001), having movement problems (P = 0.001), education level (P > 0.001) and type of insurance (P = 0.005) as predictor variables explains 36% of the variance of elderly people's satisfaction with the physical structure of hospitals.

Conclusion: The inappropriateness of the physical structure of hospitals causes dissatisfaction among the older adults. Hospital specialization, literacy level, marital status, movement problems, and insurance support are related to the hospitalized elderly’s satisfaction. It is necessary reforms the structure of hospitals to increase the satisfaction of older adults and prevent possible risks.