Ling Shin, Ru
(2008)
Factors influencing relapse of
schizophrenia in Hospital Universiti Sains Malaysia (HUSM), Kelantan.
Other.
Pusat Pengajian Sains Perubatan Universiti Sains Malaysia.
(Submitted)
Abstract
Schizophrenic patients relapse so frequently that they must spend 15 to
20% of their time in a psychiatric institution and occupy a full third of all psychiatric
beds (Maurer & Biehl 1988 as cited in Ayuso-Gutierrez & del Rio Vega, 1997).
Relapse of schizophrenia has many consequences such as increased
hospitalization, increased cost of illness, and increased burden on family members
and health care providers as well. However, prevention of relapse is important to
prevent poor long-term outcome. Therefore, it is crucial to find out the underlying
factors which can influence relapse of schizophrenia. Thus, this study aims to
determine the influencing factors such as sociodemographic data, health status
and patient attitude; and family support and their association with relapse
schizophrenia. The conceptual framework that guided this study was developed
and modified from Ariff (2000). This was a cross-sectional, descriptive study. The
target population was inpatient at Psychiatric Ward in Hospital Universiti Sains
Malaysia, (HUSM), Kelantan. The study recruited 13 psychiatric inpatients (mean
age: 37.8) and caregivers who met the inclusion criteria. After informed consent
was taken from caregivers, the researcher interviewed the caregiver using
demographic questionnaire and assessed the presence of symptoms of
schizophrenic patient using Positive and Negative Syndrome Scale (PANSS). The
data were analyzed using descriptive statistics and inferential statistics: Independent t-test and ANOVA. Findings of this study indicated that there were
association between sex (t=-2.20, p=0.05), living status (t=2. 71, p=0.02), and
frequency of oral medication per day on relapse of schizophrenia (t=2.14, p=0.05).
This study highlighted some important influencing factors such as sex, living status,
and frequency of oral medication per day that have association on relapse of
schizophrenia. It is hoped that with the findings nurses can provide more effective
care prevention to reduce relapse for schizophrenia patients. However, it is
suggested that future research should focus on larger samples and on different
ethnic groups.
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