Restraint or not restraint. Involuntary transport from home of schizophrenic patients

2017 ◽  
Vol 41 (S1) ◽  
pp. s836-s836
Author(s):  
B. Samso ◽  
S. Ramos ◽  
A. Malagón ◽  
A. Gonzalez ◽  
M. Bellsolà ◽  
...  
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
Demographic Data ◽  
Physical Restraint ◽  
Group Versus ◽  
Psychiatric Facility ◽  
Global Functioning ◽  
Related Factors ◽  
Schizophrenic Patients ◽  
Competing Interest

IntroductionAlthough physical restraint (PR) is a non-rarely practice on psychiatry there are few studies that focus the attention on the risk factors for this intervention. PR is a legitimacy practice when is needed and well applied but is not free from side effects. Knowing risk factors might be useful to improve the application of PR.ObjectivesStudy the risk factors involved with the use of PR at patient's home in individuals with schizophrenia before the involuntary transport (IT) to a psychiatric facility.MethodsIs a descriptive and observational study of 267 psychotic patients that were assisted by a psychiatric home care unit (EMSE) in Barcelona during their IT. The sample was divided in two groups, depending on the need of PR. Socio-demographic data were collected as well as positive and negative syndrome scale (PANSS), WHO disability assessment schedule (WHO/DAS), global assessment of functioning scale (GAF), Scale to assess unawareness of mental disorder (SUMD). Aggressiveness was assessed by PANSS-EC consisting of 5 items: excitement, tension, hostility, uncooperativeness and poor impulse.ResultsFrom the 267 psychotic patients 109 required PR. 154 were male and the average of age was 47. The results were significant in the PR group versus no PR for PANSS-EC (P = 0.000), as well as WHO/DAS (P = 0.017), GAF (P = 0.042), Positive PANSS (P = 0.000), age (P = 0.001) and substance use (P = 0.012). Were no significant for gender, insight or Negative PANSS.ConclusionsAggressiveness and violence were the most important PR related factors followed by positive symptoms, age, substance use and global functioning.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Prevalence of cigarette smoking in schizophrenic patients compared to other hospital admitted psychiatric patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 1417-1417
Author(s):  
A. Kheradmand ◽  
H. Ziaaddini ◽  
M. Vahabi
Keyword(s):  
Cigarette Smoking ◽  
Psychiatric Patients ◽  
Normal Population ◽  
Demographic Data ◽  
Related Factors ◽  
Cross Sectional ◽  
Significant Difference ◽  
Other Substances ◽  
Schizophrenic Patients ◽  
The Difference

Introduction & aimsEstimate the prevalence of cigarette smoking and some of the related factors among schizophrenic and other hospitalized psychiatric patients.MethodsThis was a cross-sectional study on 120 patients hospitalized in Shahid Beheshti hospital in Kerman in 2005. Patients were equally devided in two groups of schizophrenia and other psychiatric disorders. Sampling was based on statistical census and data were collected using a questionnaire including 27 questions on demographic data, psychiatric disorder, smoking cigarettes and other substances, and Fagerstrom test. Data were analyzed by Chi-square and ANOVA tests using SPSS software.ResultsPrevalence and severity of cigarette smoking was 71.6% and 6.47% among schizophrenic and 51.6% and 6.40% among other psychiatric patients, respectively and the difference was not significant. History of withdrawal was 25.6% and 58.1% in the schizophrenia and other disorders respectively and the difference was significant (P < 0.05). Addiction to other substances was 51.6% in schizophrenic and 45% in the other patients and the most prevalent substances in both groups were opium and alcohol. The severity of smoking cigarettes was 6.9 along with other drug abuses and 5.1 in cases with just smoking based on Fagerstrom test and the difference was significant (P < 0.05).ConclusionsThe prevalence of cigarette smoking in both schizophrenia and other psychiatric patients is higher than normal population, but there is no significant difference between these two groups. Schizophrenic patients need persistent supportive and supervising programs for cigarette smoking abuse treatment because of their cognitive, motivate and social problems.

scholarly journals PREVELENACE OF LOW BACK PAIN AMONG NURSES WORKING IN ELMAK NIMER UNIVERSITY HOSPITAL – SHENDI - SUDAN 2015

2015 ◽  
Vol 3 (9) ◽  
pp. 108-121
Author(s):  
MuaadhAbdulghaniGhaithan Al-samawi ◽  
Higazi Mohammed Ahmed Abdallah Awad
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Demographic Data ◽  
Work Load ◽  
University Hospital ◽  
Low Back ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Related

Globally, Low Back Pain (LBP) comprises a significant occupational hazard in nursing profession. Objectives: To estimate the incidence, to identify risk factors, and impact of illness of LBP among nurses in AL-MakNimer university Hospital at Shendi city. A cross-sectional study was applied including nurses in AL-MakNimer university Hospital at Shendi city, republic of Sudan throughout the period May -June, 2015. Sample was chosen by using total coverage sample. A predesigned questionnaire was used for data collection. The questionnaire included demographic data, work-related factors as well as effect and management of LBP data obtained were analyzed using manually and by used SPSS soft program. Results: The results revealed that the overall incidence of low back pain among nurses was (n=70, 87.5%) Female participants complaining of LBP were significantly more than male participants (85%) of the total female reported LBP. There were significantly relate between age and working hours (.015) it can be seen that about (40%) of the participants experienced LBP at least once a week or more frequently. 52.9% subjects rated their pain as moderate pain. 35.7% nurses' concept regarding factors contributing to their LBP were lifting as well as 28.6% working load,(52.9%) sleep disturbance, (64.3%) restrict activities were nurse comment regarding LBP effect. LBP is a common health problem among working nurse, lifting, work load, were the most perceived work-related risk factors for LBP, restrict activities, taking many days off, might be the most predisposed effect related to LBP. Recommendation: These findings suggest that hospitals should focus and attempt to improve the ergonomics of nursing activities. In addition, effective methods of implementing changes in work systems are needed.

scholarly journals Clinical Analysis of Risk Factors of Postoperative Psychiatric Disorders in Patients With Adult Craniopharyngioma

2021 ◽  
Vol 12 ◽  
Author(s):  
Rui Zhao ◽  
Pengwei Lu ◽  
Yanzhu Fan ◽  
Chuzhong Li ◽  
Chunhui Liu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Psychiatric Disorders ◽  
Assessment Tool ◽  
Demographic Data ◽  
Third Ventricle ◽  
Psychological Symptom ◽  
Pathological Finding ◽  
Tumor Location ◽  
Retrospective Case ◽  
Related Factors

Objective: To analyze the risk factors relative to postoperative psychiatric disorders in adult patients with craniopharyngioma.Methods: A retrospective case-control study design was used in this study. The Neuropsychiatric Inventory–Questionnaire (NPI-Q) assessment tool was used to assess psychiatric disorders in postoperative patients with craniopharyngioma at Beijing Tiantan Hospital from January 2018 to December 2020. The relationship between the psychiatric disorders and basic demographic data as well as several risk factors, such as the tumor characteristics (tumor location, tumor size, pathological finding of the tumor, etc.) and treatment-related factors (the extent of the resection), were analyzed.Results: A total of 173 patients were included in this study. The prevalence of psychiatric disorders was 14.5% among adult craniopharyngioma patients. Irritability represented the most common type of psychological symptom (64%, n = 16), followed by agitation (36%, n = 9), and delusions (28%, n = 7). The risk factors relative to postoperative psychiatric disorders that were identified were a tumor volume larger than 7 cm3 (HR = 3.292, P = 0.042), tumor location (P = 0.003), hypothalamic invasion (HR = 9.766, P = 0.036), and gross-total resection (HR = 0.085, P = 0.042).Conclusion: Neurocognitive assessment and intervention before and after surgery are important in patients with larger tumors, invading the third ventricle, and tumors with hypothalamic invasion. Prediction of these risk factors is essential for the treatment.

Dual diagnosis patients at first admission in an acute psychiatric ward. Trend over a decade

2016 ◽  
Vol 33 (S1) ◽  
pp. S315-S315
Author(s):  
A. Rossi ◽  
A. Lombardi ◽  
C. Gramaglia ◽  
M. Cavanna ◽  
F. Bert ◽  
...  
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
Dual Diagnosis ◽  
Medical Records ◽  
Psychiatric Ward ◽  
Public And Private ◽  
Prevention And Treatment ◽  
Competing Interest ◽  
Acute Psychiatric Ward ◽  
First Admission

IntroductionDual diagnosis (DD) is the coexistence of a Psychiatric Disorder (PD), and Substance Use Disorder (SUD). The increase of DD observed in recent years has caused serious problems to both public and private services organization.AimsOur aim is to assess the prevalence and features (including clinical and sociodemographic ones) of DD over a decade, comparing the period 2003–2004 and 2013–2014.MethodsWe performed a retrospective study retrieving the medical records of DD patients at their first admission to the Psychiatry Ward AOU “Maggiore della Carità”, Novara, Italy. Sociodemographic and clinical features were recorded. The two groups of patients (2003–2004 vs. 2013–2014) were compared.ResultsIn both periods DD patients are usually Italian male, aged 19–40, single. They have usually attended middle school, live with parents, have two or more brothers and/or sisters but no kids. DD patients in 2003–2004 and 2013–2014 showed differences as far as employment and diagnosis are concerned. The first were more frequently employed than the latter: moreover the 2003–2004 patients were more frequently diagnosed with a personality disorder while the 2013–2014 patients had mixed diagnoses. We have found differences in the possible predictors of substance abuse in the two periods, as well.ConclusionsThe identification of changes in the prevalence of first admission DD patients and their clinical and sociodemographic features may help to highlight an evolving pattern of substance use and to identify possible risk factors which may be the target of prevention and treatment approaches.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Impact of hepatitis B (HBV)/C (HCV) virus co-infection on the survival of schizophrenic patients with co-occurring substance use disorders followed for 12 years

2017 ◽  
Vol 41 (S1) ◽  
pp. s862-s862
Author(s):  
Y. Gimelfarb ◽  
A. D”r Wolf ◽  
M. Ben Tzarfati
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Cox Regression ◽  
Survival Rates ◽  
Observation Time ◽  
Dual Disorders ◽  
Term Survival ◽  
Schizophrenic Patients ◽  
Competing Interest ◽  
The Impact

IntroductionThere is no evidence on influence of HBV/HCV co-infection on survival characteristics in population with dual disorders.ObjectiveTo determine the impact of HBV/HCV co-infection on the long-term survival of schizophrenic patients with co-occurring substance use disorders.MethodsCharts of 223 subjects admitted from January 1, 2002 to May 31, 2006 were assessed. The Kaplan–Meier survival analysis was used to estimate the cumulative survival rates. The association between HBV/HCV and mortality was estimated using the Cox proportional-hazard regression models, with adjustments for potential confounders. The main outcome was all-cause mortality. Median observation time was 10.3 years.ResultsTotal all-cause 11 year, unadjusted mortality was 18.0% in population with no viral hepatitis (VH) infection (n = 185; 83.0%), 66.7% in population with HBV monoinfection (n = 3; 1.3%), 50.0% in population with HCV monoinfection (n = 28; 12.6%), and 64.3% in population with HBV/HCV co-infection (n = 7; 3.1%), P < 0.00001. In Cox regression, the adjusted hazard ratio was 4.22 (95% CI: 1.00–18.63; P < 0.05) for the HBV, 4.24 (95% CI: 2.13–8.47; P < 0.00001) for the HCV, 6.18 (95% CI: 2.01–19.01; P < 0.0015) for the HBV/HCV, all vs. no VH-infection.ConclusionsThe high mortality of schizophrenic dual disorders patients with HBV/HCV necessitates new approaches to secondary and tertiary prevention to reduce the burden of chronic liver disease and to improve survival. The strong adverse effect of HBV/HCV on survival should encourage clinical trials including schizophrenic dual disorders patients on whether patients benefit from treatment choices. It is essential that adequate resources and strategies are targeted to the schizophrenic dual disorders patients with HBV/HCV.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Treatment attitude and hospitalization: Comparison of oral therapy and long-acting injectable (LAI) antipsychotics in patients with schizophrenia

2017 ◽  
Vol 41 (S1) ◽  
pp. S369-S370
Author(s):  
L. Montemagno ◽  
M. Ludovico ◽  
A. Distefano ◽  
M. Marta Valentina ◽  
B. Mariacatena ◽  
...  
Keyword(s):  
Oral Drug ◽  
Global Functioning ◽  
Attitude Inventory ◽  
Oral Group ◽  
Schizophrenic Patients ◽  
Olanzapine Pamoate ◽  
Competing Interest ◽  
Oral Antipsychotic ◽  
Long Acting ◽  
Drug Attitude Inventory

BackgroundAdherence to prescribed antipsychotic drugs is a crucial factor in predicting medium- to long-term clinical outcome in schizophrenia. A helpful approach to promote adherence in schizophrenia is the use of long-acting injectable (LAI) antipsychotics.ObjectTo evaluate:– the global functioning and the hospitalization rate occurred in the year before and in the year following the switch from a low-efficacy oral antipsychotic to either a LAI once-monthly therapy (palmitate paliperidone or olanzapine pamoate) or the corresponding oral compound (paliperidone\risperidone or olanzapine) in schizophrenic patients;– the treatment attitude and the insight in patients treated with second-generation antipsychotic (SGA)-LAIs and with the corresponding oral compounds.MethodSixty adult schizophrenic outpatients: thirty were switched to LAIs and thirty to the corresponding oral antipsychotic. We used the following scales: Drug Attitude Inventory (DAI), Schedule for the Assessment of Insight (SAI), Life Skill Profile (LSP).ResultsNumber of hospitalizations per year decreased in both groups (LAIs: from 1.3 ± 0.5 to 0.3 ± 0.5; oral: from 1.3 ± 0.5 to 0.6 ± 0.5). We found a direct association between the “hospitalization event” and the oral drug compared to the corresponding LAI formulation (P = 0.049; OR: 3.05; 95% IC: 1.01–9.26). Patient receiving LAIs achieved a more significant improvement at the LSP score compared to the oral group (P < 0.001 vs. P = 0.0034) and higher DAI (5.9 ± 4.3 vs. −1.1 ± 4.3) and SAI (8.7 ± 2.9 vs. 5.6 ± 2.1).ConclusionsOur data suggest that SGA-LAIs, improving the adherence to the treatment, may sensitively reduce costs in mental health services.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The acting out in patients with Schizophrenia examined in a forensic psychiatric assessment

2017 ◽  
Vol 41 (S1) ◽  
pp. S591-S591
Author(s):  
S. Khouadja ◽  
S. Younes ◽  
S. Chatti ◽  
R. Ben Soussia ◽  
L. Zarrouk ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mentally Ill ◽  
University Hospital ◽  
Acting Out ◽  
Psychiatric Assessment ◽  
Schizophrenic Patients ◽  
Forensic Psychiatric ◽  
Competing Interest ◽  
Psychiatric Department ◽  
Forensic Psychiatric Assessment

IntroductionMany studies have shown that schizophrenic patients are responsible for the highest rates of violence among all the mentally ill patients.Aims of the studyDescribe the socio-demographic and clinical characteristics of patients with schizophrenia examined in a forensic psychiatric assessment and identify the risk factors of violence in these patients.MethodologyA retrospective study carried out in the psychiatric department of university hospital of Mahdia during fifteen years involving 40 patients with schizophrenia examined in a forensic psychiatric assessment following a forensic act. These patients were compared to a population of 40 patients followed in the same establishment for the same disease and without criminal record.ResultsAge average of 36.08 years, male (95%), rural origin (65%), primary level education (47.5%), single (65%), unemployed (65%) and average socio-economic level (65%). Personal psychiatric history (87.5%), personality disorder (12.5%), judiciary history (12.5%) and substance abuse (57.5%). Subtypes of schizophrenia: undifferentiated (52.5%) and paranoid (30%). They have committed serious physical assaults (55%) and aggression against property (27.5%). The victim was mostly a family member (40%), under the influence of toxic (22%), driven by delusions of persecution (61%), with hallucinatory mechanism (55%). The psychiatric expert has concluded an abolition of discernment in 77.5% of cases. Risk factors of acting out were: rural origin, alcohol and psychoactive substances use, productive forms of schizophrenia, poor adherence and irregular monitoring.ConclusionThe knowledge of risk factors improves the management and allows us better prevention of violence among our patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Substance use behavior and its lifestyle-related risk factors in Bangladeshi high school-going adolescents: An exploratory study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254926
Author(s):  
Mst. Sabrina Moonajilin ◽  
Md Khalid Ibne Kamal ◽  
Firoj al Mamun ◽  
Mariam Binte Safiq ◽  
Ismail Hosen ◽  
...  
Keyword(s):  
Risk Factors ◽  
High School ◽  
Substance Use ◽  
Statistical Significance ◽  
Family Influence ◽  
Related Factors ◽  
Late Night ◽  
Related Risk ◽  
Time And Being ◽  
Use Behavior

Substance abuse is a major concern worldwide and is increasing rapidly in Bangladesh. However, there are no prior studies concerning lifestyle-related factors that influence adolescents’ substance use behavior. Therefore, the present study investigated the prevalence of substance use and its associated sociodemographic and lifestyle-related risk factors among a total of 424 Bangladeshi high school-going adolescents through a structured questionnaire interview study. The survey questionnaire consisted of socio-demographics, lifestyle-related information, and substance use-related questions. For data analysis, descriptive and inferential statistics were performed using SPSS (Statistical Package for Social Science) version 22.0, and a p-value of <0.05 determined statistical significance. Results showed that 21.2%, 14.4%, and 15.1% of the participants reported smoking, using a drug, and consuming alcohol, respectively, at least once during their lifespan; whereas the current (i.e., past-month) rates were reported to be 10.4%, 2.8%, and 3.1%, respectively. Overall, the current substance use risk factors were identified as being male, not being from science academic background, having less family influence on personal life, irregular teeth brushing, being smartphone users, using a smartphone for a longer time, and being late-night sleepers. From the list of identified risk factors of substance use, those that are modifiable may be targeted to evolve a prevention program to manage this problem in Bangladeshi adolescents.

scholarly journals Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran

2021 ◽  
Vol 7 (4) ◽  
pp. 202-208
Author(s):  
Ali Mohammadzadeh Jouryabi ◽  
◽  
Abbas Sedighinejad ◽  
Cyrus Emir Alavi ◽  
Gelareh Biazar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cesarean Section ◽  
Dural Puncture ◽  
Demographic Data ◽  
Related Factors ◽  
Early Ambulation ◽  
Post Dural Puncture Headache ◽  
The North ◽  
North Of Iran ◽  
History Of

Background: Spinal Anesthesia (SA) as a safe, reliable, and cost-effective method is widely used for Cesarean Section (CS). However, it is sometimes complicated by Post-Dural Puncture Headache (PDPH). Objectives: We investigated the frequency of PDPH in CS under SA and related risk factors in an academic referral hospital in the north of Iran. Materials & Methods: This descriptive cross-sectional prospective study was conducted at Alzahra hospital as an academic referral center affiliated with the Guilan University of Medical Sciences on 147 eligible cases During from May 2019 to October 2019. Then questionnaires containing questions about patients’ demographic data and some PDPH-related factors were filled out via face-to-face interviews. The collected data were analyzed by SPSS v. 21 using Chi-squared and and Fisher’s exact test. Results: The incidence of PDPH was 6.1%. Early ambulation, the number of attempts, and having a history of headache were significantly associated with a higher incidence of PDPH (P=0.001), while body mass index (P=0.106), age (P=0.093), and residents’ experience (P=0.384) had no significant association. None of our cases experienced a severe or persistent headache. Conclusion: The main predisposing factors for PDPH were found to be the history of HA, early ambulation, and the number of dura punctures. Women at risk for PDPH should be objectively screened before CS under SA.

scholarly journals Prevalence of Low Back Pain and Associated Risk Factors among Nurses at King Abdulaziz University Hospital

2021 ◽  
Vol 18 (4) ◽  
pp. 1567
Author(s):  
Aishah Almaghrabi ◽  
Fatmah Alsharif
Keyword(s):  
Risk Factors ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Related Factors ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Work Related ◽  
King Abdulaziz University ◽  
Associated Risk Factors

Aim: To determine the prevalence of LBP and the associated risk factors among nurses at King Abdulaziz University Hospital (KAUH). Methods: A cross-sectional study design was adopted with a convenience sample of 234 nurses recruited from nine different departments at KAUH in Jeddah, Saudi Arabia. Participants completed the questionnaire, which had two parts: Part I: Socio-demographic data, medical factors, and work-related factors; and Part II: Standardized Nordic Musculoskeletal Questionnaire was used to obtain data. Data collection was carried out from March to April 2020. Data were analyzed using the SPSS version 22. Results: Cumulative prevalence of LBP was 82.9%, annual prevalence was 85.5%, while one-week prevalence of LBP was 53.6%. The factor significantly associated with LBP over the past 12 months was manual lifting of patients (p = 0.030). Nurses working in surgical wards had higher prevalence of LBP. About 24.7% of them changed their working unit, hospitalization was necessary for 11.9%, and 39.8% sought medical care. Conclusions: The findings from this study may better enable policymakers to adopt certain strategies toward reducing the burdens and challenges of LBP among nurses.

Sign in / Sign up

Export Citation Format

Share Document