Aina Israel Odunmayowa, Otakpor Alex Ndubisi, Israel-Aina Yetunde Tinuola
Department of Mental Health, University of Benin Teaching Hospital, Benin City, Nigeria.
Department of Child Health, University of Benin Teaching Hospital, Benin City, Nigeria.
Prim Care Companion CNS Disord. 2016 Apr 21;18(2). doi: 10.4088/PCC.15m01817. eCollection 2016.
To determine the pattern of care sought in cases of psychiatric emergency before presentation to a tertiary health care center.
Consecutive recruitment of 180 emergency psychiatric cases, which comprised a total of 156 patients, presenting to the accident and emergency unit of the University of Benin Teaching Hospital (UBTH), Edo State, Nigeria, was conducted from June 2008 to January 2009. A structured instrument was used to gather the patients' information including their sociodemographic characteristics, their care before presentation, and the relations accompanying them to the hospital.
The mean ± SD patient age was 33.82 ± 12.64 years, with an age range of 18-73 years and a modal age of 23 years. The male to female ratio was 1:1.05. Of the patients, 121 (77.6%) were not married, while 35 (22.4%) were married. Most identified as Christian (96.2%). The majority of the patients (70.0%) presented to the hospital through self-referral. Eighty (44.4%) of the patients had not sought any treatment before coming to UBTH. Forty-seven patients (26.1%) had sought care in churches, 39 (21.7%) had sought treatment in other hospitals, and 12 (6.7%) had sought traditional care before presenting to UBTH. Seventy-four patients (41.1%) were accompanied by parents and 44 (24.4%) were accompanied by siblings, while the spouse accompanied 23 (12.8%) patients.
Most patients with psychiatric emergencies at UBTH prefer to present directly to the tertiary health care center in Benin City, and they are usually supported by their immediate family members.
确定在前往三级医疗保健中心就诊之前，精神科急诊患者所寻求的护理模式。
2008年6月至2009年1月，连续招募了180例急诊精神科病例，这些病例共计156名患者，均前往尼日利亚江户州贝宁大学教学医院（UBTH）的急诊科就诊。使用结构化工具收集患者信息，包括其社会人口学特征、就诊前的护理情况以及陪同他们前往医院的亲属关系。
患者的平均年龄±标准差为33.82±12.64岁，年龄范围为18 - 73岁，众数年龄为23岁。男女比例为1:1.05。其中121名患者（77.6%）未婚，35名患者（22.4%）已婚。大多数患者认定为基督教徒（96.2%）。大多数患者（70.0%）是自行前往医院就诊。80名患者（44.4%）在前往UBTH之前未寻求过任何治疗。47名患者（26.1%）曾在教堂寻求护理，39名患者（21.7%）曾在其他医院接受治疗，12名患者（6.7%）在前往UBTH之前寻求过传统护理。74名患者（41.1%）由父母陪同，44名患者（24.4%）由兄弟姐妹陪同，23名患者（12.8%）由配偶陪同。
UBTH的大多数精神科急诊患者更倾向于直接前往贝宁市的三级医疗保健中心就诊，并且他们通常由直系亲属陪同。
