Izvorni znanstveni članak
https://doi.org/10.24869/psyd.2021.532
COMPARISON OF HOSPITALIZATION RATE AND SOCIAL FUNCTIONING OF PATIENTS RECEIVING COMMUNITY MENTAL HEALTH SERVICE AND OUTPATIENT PSYCHIATRY POLICLINIC
Aydin Kurt
; Department of Psychiatry, Nigde Training and Research Hospital, Nigde, Turkey
Etem Erdal Ersan
; Department of Psychiatry, Omer Halisdemir University, Nigde, Turkey
Sažetak
Background: This study aimed to compare the hospitalization rates and social functioning of patients receiving Community
Mental Health Center (CMHC) services and those treated in the psychiatry policlinics of hospitals.
Subjects and methods: A total of 145 patients who were diagnosed with schizophrenia or schizoaffective disorder according to
DSM-V criteria were included in the study. Of them, 81 received CMHC services at least for one year (CMHC group) and 64 were
followed-up in psychiatry policlinics (hospital group). A personal information form containing socio-demographic and
disease/treatment characteristics and hospitalization counts in the last year, Social Functioning Assessment Scale (SFAS) and
Positive and Negative Syndrome Scale (PANSS) were used to collect data. The hospital group received antipsychotic medication
therapy while a semi-structured psycho-social intervention program combined with antipsychotic drug therapy was applied in the
CMHC group. The hospitalization counts, SFAS and PANSS scores of the groups were compared and the correlation of related
factors were evaluated.
Results: Hospitalization rates were 0.21+0.56 in the CMHC group and 1.03+1.31 in the hospital group.The mean hospitalization
rate was significantly lower in the CMHC group (p<0.001). The mean scores for the overall SFAS and its interpersonal
relationships and entertaining subscale; were significantly higher in the CMHC. The mean overall PANSS scores were 84.23+15.28 and 99.50+15.99 in the CMHC and hospital groups, respectively (p<0.05). There was a moderate positive relationship between
hospitalization rates and all PANSS scores.
Conclusions: CMHC services led to a serious decrease in hospitalization rates, increased the psychosocial functioning of
patients and improved their compliance to treatment. Transition to a community-based mental health model should be accelerated
for holistic treatment. Further longitudinal studies with a control group should be conducted.
Ključne riječi
CMHC - schizophrenia - hospitalization - social functioning
Hrčak ID:
269097
URI
Datum izdavanja:
21.12.2021.
Posjeta: 504 *