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KMID : 0897520050100020102
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Journal of Korean Association of Social Psychiatry
2005 Volume.10 No. 2 p.102 ~ p.108
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Factors Associated with Missed First Appointments after Discharge in Patient with Schizophrenia
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Sim Ki-Hyouk
Kwon Young-Joon
Jeong Hee-Yeun
Jun Yong-Ho
Shim Se-Hoon
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Abstract
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Objective： Chronic Illnesses such as mental disorder make recurrences and re-admissions to the hospital happen when patients do not get the treatment and can not adjust to the society. By conducting research on social demography and clinical characteristics, which affect patients’ mental compliance of revisiting a hospital, it helps to examine a model that could predict the compliance.
Method： With reference to a medical chart of seventy-four patients who had been released from one of the hospitals in Korea after their completion of treatment, they were separated into two categories；A) those who made the first visit to the clinic after the release and B) those who did not visit the clinic afterwards. Statistically, it was confirmed that there was a significant difference on their tendency in terms of their demographic and clinical characteristics.
Results： 1) Among the seventy-four Schizophrenia patients examined, it was found that fifty-seven people re-visited the hospital after their release from the hospital, occupying around seventy-seven percent of the whole population. On the contrary, there were seventeen patients who did not make the visit to the hospital, which was about twenty three percent. 2) There was no significant difference on the result in demographic characteristics such as patients’ gender, age, educational background, marital status, type of insurance, family members. 3) The clinical characteristics include; forms and durations of hospitalization, forms of discharge, onset age, history of hospitalization, use of Benztropine, difference in weight, injection of mood stabilizer, BPRS rate during hospitalization, BPRS rate when discharged from the hospital, and the difference in BPRS rate during and after the hospitalization. Among those characteristics, statistically, there were significant differences in period of hospitalization, BPRS rate after discharged from the hospital, and the difference in rate during and after the hospitalization. However, the longer the patients were hospitalized, the higher was the percentage of their re-visiting the hospital after the discharge. Also, the BPRS rate while discharging from the hospital and the percentage of re-visiting the hospital showed a negative correlation.
Conclusion： Among the Schizophrenic patients who have been treated, assumption is made to those patients with short period of hospitalization and patients with severe Psychotic symptoms who scored high on BPRS rate during discharge might be low on compliance. Therefore, these patients might need much more careful attention for their incessant treatment in the future.
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KEYWORD
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Schizophrenia, Compliance, Hospital treatment
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