Yussuf A D, Kuranga S A, Balogun O R, Ajiboye P O, Issa B A, Adegunloye O, Parakoyi M T
Department of Behavioural Sciences, College of Health Science, University of Ilorin, Nigeria.
Afr J Psychiatry (Johannesbg). 2008 Aug;11(3):187-90. doi: 10.4314/ajpsy.v11i3.30267.
Little is known about predictors of readmission of psychiatric patients in the study environment. Knowledge of this, we believe could aid effective management of psychiatric patients, as well as judicious and equitable utilization of the limited mental health facilities in the North-central zone. The aim was to identify factors that may be predictive of readmissions to an in-patient psychiatric facility of a Nigerian University Teaching Hospital.
A retrospective record review of all admissions and discharges to/from the psychiatric inpatient ward of University of Ilorin Teaching Hospital, (UITH) between May 2000 and April 2005. Patients and clinical characteristics were recorded and all the data were characterized according to age, gender, marital status, occupational status, length of stay on admission, number of admissions, and medication compliance. Data were analyzed with SPSS version 11 to derive the chi square figures, Pearson's correlation, and logistic regression. The level of statistical significance was set at 5%.
Within the study period, 41.4% of cases were readmissions. Young age, longer length of stay, multiple admissions and the diagnosis of schizophrenia were predictive of readmission while medication non-compliance was not predictive.
Provision of psycho-education to both the patients and their families, identification of early symptoms of relapse, application of immediate and appropriate measures, and adequate record-keeping by health institutions are advocated.
在本研究环境中，对于精神科患者再入院的预测因素知之甚少。我们认为，了解这些因素有助于对精神科患者进行有效管理，以及明智且公平地利用中北部地区有限的心理健康设施。目的是确定可能预测尼日利亚某大学教学医院精神科住院患者再入院的因素。
对2000年5月至2005年4月期间伊洛林大学教学医院（UITH）精神科住院病房的所有入院和出院情况进行回顾性记录审查。记录患者和临床特征，并根据年龄、性别、婚姻状况、职业状况、入院住院时间、入院次数和药物依从性对所有数据进行特征描述。使用SPSS 11版软件进行数据分析，得出卡方值、皮尔逊相关性和逻辑回归结果。统计学显著性水平设定为5%。
在研究期间，41.4%的病例为再入院患者。年轻、住院时间较长、多次入院以及精神分裂症诊断是再入院的预测因素，而药物不依从不是预测因素。
提倡对患者及其家属进行心理教育，识别复发的早期症状，采取及时且适当的措施，以及医疗机构做好充分的记录保存工作。
