Ismail, Shaiful Bahari and Merchant, Mohd. Raza and Dr'aman, Samsul and Singh, Suarn
(2005)
A study on risk factors of repeated
admissions among schizophrenic patients in Hospital Kota Bharu.
A study on risk factors of repeated admissions among schizophrenic patients in Hospital Kota Bharu.
Abstract
Introduction: The number of people with psychological problems in the world
has reached 1.5 billion in 1996, but only one percent of them have received
treatment (1Oth International Psychopathology Conference). Schizophrenia is a
difficult disease that many choose to conceal. Relapse and frequent
readmissions among schizophrenic patients are common and various risk factors
have been associated with them. These further enhance the existing societal
stigma which causes pain to the patients, their family and friends.
Objective: To identify the risk factors of readmission in less than 6 months from
the previous admission among schizophrenic patients in Hospital Kota Bharu.
Methodology: A total of 120 outpatients and 120 inpatients who fulfilled DSM IV
criteria for schizophrenia from Hospital Kota Bharu between 1st October 2002
until 31st March 2003 were interviewed using a validated questionnaire. The
questionnaire ·includes questions on patients' sociodemographic data,
compliance, insight, family support and life events.Results: Using multiple logistic regression, it was shown that young age ( OR:
0.94, p: 0. 004 ), number of previous admission (OR: 1.163, p: 0.001 ), good
compliance ( OR: 0.046, p: 0.001 ), poor insight ( OR: 7 .32, p: 0.001 ), partial
insight ( OR: 3.08, p: 0.023), importance of follow up (OR: 2.94, p: 0.043) and
family remind follow up ( OR: 0.17, p: 0.001) were significant risk factors of
repeated admissions. Other variables such as marital status, income, education,
distance and life events showed no significant associations.
Conclusions. Age, number of previous hospitalization, poor compliance, poor
insight and poor family support were important factors in determining repeated
admissions among schizophrenic patients. In the management of these patients,
good family supports need to be emphasized.
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