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KMID : 0352519820190030763
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Korea Univercity Medical Journal
1982 Volume.19 No. 3 p.763 ~ p.787
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A Clinical Study on Charity Paychiatric Patient
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金正彦/Kim, Chung-Un
徐光潤/李丙允/Suh, Kwang-Yoon/Lee, Byung-Yoon
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Abstract
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This epidemiological investigation of the mental disorders was based on study of 461 cases of psychiatric charity patients, who had been hospitalized between Oct. 1981 and Feb. 1982 at the Seoul Municipal Hospital and Chungryang Ri Hospital.
The purpose of this study was to gain basic data and information of these charity patients, which would be helpful to clinical practice and public health administration in general.
The following results were obtained;
1. Two hundred thirty four cases of the subject were male and 227 cases were female. Male to Female. ratio of all cases was 1. 1 : 1.
2. In diagnostic classification, 60.5% of the subject were schizophrenic disorder and 10.2% were affective disorder.
Other clinical entities were epilepsy (6.1%), organic mental disorder (5.6%), alcoholic psychosis (5.4%) , paranoid disorder (4. 1%6), mental retardation and so forth.
3. In the age distribution, those group with age ranged from 21 to 30 years old, were predominated.
4. Many of the subject had relatively poor academic achievement, and were unemployed.
5. 53.4% of all cases were in unmarried, and 13.2% were in divorced.
Unmarried cases were seen predominantly in epilepsy (67.9%), personality disorder (61. 5%), schizophrenia (58. 8%) and affective disorder (53.2%).
6. 75.5% of all cases were chronic illed (over 1 year duration), and 72.3% had history of readmission.
7. 74.8% of the subject were referred by police, because of nonmedical causes rather than medical ones.
Direct events for referral were wandering on road (44.5%6), visiting governor´s office (21. 5%), and social welfare and discipline(19.5%) in order of frequency.
8. In the hospital days, 33.2% of all cases were between 7-14 days and 30.8% were between 15-30 days.
9. The clinical outcomes at the time of discharge were as follows; improved (44.5%), no changed (40.6%) and recovered (11.5%) in order of frequency.
10. The degrees of social support after discharge were as follows; indifference(28.9%), lack of support (26.8%), passive support (25.1%) and rejection (10.9%) in order of frequency.
11. Many of the subject (66.7%) had not follow-up treatment after discharge.
12. In the residential distribution 42.3% of all cases had their residence in Seoul district, and 44.9o in other district.
In summary, characteristic features found in these charity patient were basic defects in
social functioning, poor social, medical and environmental follow-up support and management, and very limited psychiatric treatment available.
All of these unfavorable factors seemed to be important roles in facilitating chronic tendency of illness in these patients.
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