scholarly journals Factors influencing motivation in alcohol dependence syndrome patients in a tertiary care hospital of Assam

2020 ◽  
Vol 8 (9) ◽  
pp. 3288
Author(s):  
Prosenjit Ghosh ◽  
Prakash Barman ◽  
Ankur Bhattacharjee
Keyword(s):  
Alcohol Dependence ◽  
Hospital Stay ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Fisher Exact Test ◽  
Care Hospital ◽  
Motivation To Change ◽  
Alcohol Dependence Syndrome ◽  
Action Stage

Background: The aim of this study is to study the change in motivation in patients with alcohol dependence syndrome (ADS).Design: 50 consecutive patients admitted for the treatment of ADS in a tertiary care hospital were evaluated. It was a cross sectional observational study.Methods: The study was done in a tertiary care hospital in the in-patient department of psychiatry. Structured performa for sociodemographic details. Psychiatric morbidity was assessed by structured clinical interview according to ICD10. SAD-Q (severity of alcohol dependence questionnaire) to assess severity of alcohol dependence. The assessment of motivation was done using the University of Rhode Island change assessment scale at baseline and after 10 days of admission. Data was evaluated keeping the aims and objectives in mind with appropriate statistical method using Statistical package social software (SPSS) version 21 and descriptive statistics was used. Chi square and Fisher exact test were used to assess the significance.Results:  A total 64% were in pre-contemplation, 30% in contemplation and 6% were in action stage of motivation at baseline assessment. A significant change was seen in the levels of motivation towards contemplation and action stage after a brief hospital stay of 10 days. Motivation to change had a significant association with education and severity of alcohol dependence.Conclusions: Pharmacological and non-pharmacological treatment during a short hospital stay results in improvement in readiness for change in patients of alcohol dependence syndrome. 

scholarly journals Evaluation of Psychiatric Morbidity in COVID-19-Positive Inpatients Referred to Consultation Liaison Psychiatry in a Tertiary Care Hospital

2021 ◽  
pp. 025371762110221
Author(s):  
Nisha K. Prajapati ◽  
Nimesh C. Parikh ◽  
Nilima D. Shah ◽  
Vinodkumar M. Darji ◽  
Heena B. Jariwala ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Adjustment Disorder ◽  
P Value ◽  
Fisher Exact Test ◽  
Care Hospital ◽  
Liaison Psychiatry ◽  
Exact Test ◽  
Consultation Liaison Psychiatry

Background: The COVID-19 pandemic has led to the risk of common mental illnesses. Consultation liaison psychiatry has been one of the most requested services in the face of this pandemic. We aimed to assess (a) the prevalence of psychiatric illness, (b) different types of psychiatric diagnoses, (c) presenting complaints, (d) reasons for psychiatric referrals, and (e) psychiatric intervention done on COVID-19 positive inpatients referred to consultation liaison psychiatry at tertiary care hospital. Method: This was a retrospective study of data collected from April 1, 2020, to September 15, 2020. Total 300 patients were referred and diagnosed with clinical interview and Diagnostic and Statistical Manual for Mental Disorder Fifth Edition criteria. Analysis was done using chi-square test, Kruskal–Wallis test, and fisher exact test. Results: Out of 300 patients, 26.7% had no psychiatric illness. Adjustment disorder was the commonest psychiatric diagnosis (43%), followed by delirium (10%). Statistically significant differences were found for parameters like Indian Council of Medical Research Category 4 of the patient, (hospitalized severe acute respiratory infection) (P value < 0.001), medical comorbidity (P value = 0.023), and past history of psychiatric consultation (Fisher exact test statistic value <0.001). Behavioral problem (27.6%) was the commonest reason for psychiatric referral. Worrying thoughts (23.3%) was the most frequent complaint. A total of 192 (64.3%) patients were offered pharmacotherapy. Conclusions: Psychiatric morbidity was quite high (73.3%) among them and adjustment disorder was the commonest (43%) psychiatric diagnosis followed by delirium (10%). Pharmacotherapy was prescribed to 64.3% patients and psychosocial management was offered to most of the referred patients.

scholarly journals Depression in Patients with Alcohol Dependence Syndrome in a Tertiary Care Center: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (240) ◽  
Author(s):  
Mukti Acharya
Keyword(s):  
Alcohol Dependence ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Prevalence Of Depression ◽  
Alcohol Dependence Syndrome

Introduction: Alcohol dependence syndrome is an important and major public health issue seen in our community and health center. It is mostly associated with different mental health problems and psychiatric co-morbidities. This study aims to find out the prevalence of depression among alcohol dependence syndrome in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted over one year from April 15, 2020, to February 15, 2021 at a tertiary care hospital. The ethical approval was obtained from the Institutional Review Committee of Nobel Medical College (reference number: 409/2020). Convenience sampling method was used. The patients admitted for alcohol use and related problems in the Psychiatry Department, Nobel Medical College Teaching Hospital, Biratnagar were included. Data entry was done using Microsoft Excel and statistical analysis was done by using Statistical Packages of Social Sciences Version 16.0. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage. Results: The prevalence of depression in patients with Alcohol Dependence Syndrome was 17 (16.3%) (95% Confidence Interval= 9.20-23.39) . The patients suffering from depressive disorder male and female were 16 (94.1%) and 1 (5.8%) respectively. The participants with Alcohol Dependence Syndrome with no other comorbid psychiatric disorders were found to be 60 (57.7%). Conclusions: Psychiatric comorbidity was found to be common in alcohol dependent people among which depression was found to be most common.

scholarly journals Duration of In-hospital Stay for Elective Neurosurgical Procedures in a Tertiary Care Hospital

Cureus ◽  
2021 ◽  
Author(s):  
Bilal Khan ◽  
Usman Haqqani ◽  
Sajjad Ullah ◽  
Saima Hamayun ◽  
Zohra Bibi ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Neurosurgical Procedures ◽  
Care Hospital

scholarly journals Electro-Convulsive Therapy (ECT): In the Eyes of Nurses of a Tertiary-Care Hospital

1970 ◽  
Vol 8 (2) ◽  
pp. 85-89
Author(s):  
Dhana Ratna Shakya ◽  
Sami Lama
Keyword(s):  
Nursing Students ◽  
Nursing Staff ◽  
Nursing Student ◽  
Tertiary Care Hospital ◽  
Public Awareness ◽  
Psychiatric Service ◽  
Tertiary Care ◽  
Psychiatric Morbidity ◽  
Care Hospital ◽  
Convulsive Therapy

Background:Electro-convulsive therapy (ECT) is frequently viewed negatively, even among health professionals. Such a view might have adverse consequences. Objective: To explore how nursing students and nursing staff view ECT. Methodology: This is a semi-qualitative attitudinal study and the views were compared between nursing .student. and .staff. groups. A questionnaire prepared to assess views about different aspects of ECT was distributed among nursing students and staff of a tertiary-care hospital with a psychiatric service, after an explanation. The questionnaire focused mainly on effectiveness, safety, use, acceptance and some local issues. Results: A total of 108 subjects included 54 nursing staff and students each. Average student age was 21 and staff 29 years. Nearly one-third of students were interested in psychiatry for career versus only 13% staff. The majority of students had seen ECT being given, compared with 40% of staff. Depression was stated as an indication by 62% students versus 40% of staff. More staff thought ECT was more expensive than drugs. More staff indicated adverse effects as a main obstacle while using ECT than students. More students thought it .very effective. versus staff. Regarding safety, both had comparable views, but more staff viewed it as dangerous. More students than staff felt it should be promoted and public awareness should be raised. More students expressed readiness to use ECT if needed for themselves or relatives. Conclusion: Nursing students had more favorable views towards ECT than nursing staff. Keywords: Electroconvulsive therapy; knowledge attitude; nurse; psychiatric morbidity DOI: 10.3126/hren.v8i2.4417 Health Renaissance, May-Aug 2010; Vol 8 (No.2):85-89

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