A Study on Risk Factors of Repeated Admissions among Patients with Schizophrenia in Hospital Kota Bharu, Kelantan, Malaysia
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Accession number;05A0826424
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| Title;A Study on Risk Factors of Repeated Admissions among Patients with Schizophrenia in Hospital Kota Bharu, Kelantan, Malaysia |
| Author;
DRAMAN SAMSUL
(Univ. Sains Malaysia, Kelantan, Mys)
ISMAIL SHAIFUL BAHARI
(Univ. Sains Malaysia, Kelantan, Mys)
MERCHANT MOHD RAZA
(Univ. Sains Malaysia, Kelantan, Mys)
YUSOF HARMY MOHD
(Univ. Sains Malaysia, Kelantan, Mys)
HUSIN TENGKU ARIF RAJA
(Univ. Sains Malaysia, Kelantan, Mys)
SURAN SINGH A L JASMIT SINGH
(Hospital Kota Bharu, Kelantan, Mys)
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Journal Title;Int Med J
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Journal Code:L4914A
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ISSN:1341-2051
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VOL.12;NO.3;PAGE.185-192(2005)
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| Figure&Table&Reference;TBL.13, REF.51 |
| Pub. Country;Japan |
| Language;English |
| 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 (10'th' 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 from 1'st' October 2002 until 31'st' 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 in 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 anticipating repeated admissions among schizophrenic patients. (author abst.) |
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