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贝宁城联邦神经精神病医院精神分裂症门诊患者首次预约失约的患病率、相关因素及原因

Prevalence, factors and reasons associated with missed first appointments among out-patients with schizophrenia at the Federal Neuro-Psychiatric Hospital, Benin City.

作者信息

Ibironke Thomas Felicia, Osasu Olotu Sunday, Ohiole Omoaregba Joyce

机构信息

Senior Registrar, Department of Clinical Services, Federal Neuro-Psychiatric Hospital, Benin-City, Edo State, Nigeria.

Consultant Psychiatrist, Department of Clinical Services, Federal Neuro-Psychiatric Hospital, Benin-City, Edo State, Nigeria.

出版信息

BJPsych Open. 2018 Feb 22;4(2):49-54. doi: 10.1192/bjo.2017.11. eCollection 2018 Mar.

DOI:10.1192/bjo.2017.11
PMID:29971144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6020260/
Abstract

BACKGROUND

Non-attendance to clinic appointments is associated with poorer treatment outcomes. There is a dearth of information about missed first clinic appointments among patients with schizophrenia in Nigeria.

AIMS

To determine the prevalence, correlates and reasons for missed first appointment among out-patients with schizophrenia at the Federal Neuro-Psychiatric Hospital, Benin City, Nigeria.

METHOD

A cross-sectional descriptive study among 275 out-patients with schizophrenia, using the Mini International Neuro-Psychiatric Interview and the Brief Psychiatric Rating Scale.

RESULTS

The prevalence of missed first appointment was 31%. Higher BPRS score was associated with missing the appointment. The main reasons for missed appointments were: forgetting the appointment date and patient's refusal to come to the clinic.

CONCLUSIONS

Missed first out-patient clinic appointment is common among patients with schizophrenia at the study site, forgetting appointment dates being a common reason. Among other recommendations, methods of reminding patients and caregivers of appointment dates at the study location may need to be explored.

DECLARATION OF INTEREST

None.

摘要

背景

未按时赴门诊预约与较差的治疗结果相关。在尼日利亚,关于精神分裂症患者首次门诊预约未到的信息匮乏。

目的

确定尼日利亚贝宁城联邦神经精神病医院门诊精神分裂症患者首次预约未到的患病率、相关因素及原因。

方法

采用简易国际神经精神访谈和简明精神病评定量表,对275例门诊精神分裂症患者进行横断面描述性研究。

结果

首次预约未到的患病率为31%。简明精神病评定量表得分较高与未赴约相关。未赴约的主要原因是:忘记预约日期和患者拒绝前来就诊。

结论

在研究地点,门诊精神分裂症患者首次预约未到的情况很常见,忘记预约日期是常见原因。除其他建议外,可能需要探索在研究地点提醒患者和照料者预约日期的方法。

利益声明

无。

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