scholarly journals Incidence of Orthostatic Hypotension in Schizophrenic Patients Using Antipsychotics at Sambang Lihum Mental Health Hospital, South Kalimantan

2021 ◽  
Vol 4 (3) ◽  
pp. 210-218
Author(s):  
Noor Cahaya ◽  
Sandra Putri Wijaya ◽  
Khoerul Anwar

Schizophrenia is a psychiatric disorder that requires antipsychotics therapy. Antipsychotics cause many side effects, including orthostatic hypotension. The study aimed to describe the incidence of orthostatic hypotensive side effects experiences by schizophrenia patients at the Sambang Lihum Mental Health Hospital, South Kalimantan. This research was observational description research with data sampling by medical records. This research was conducted to 300 medical records of patients period January-December 2018 which received antipsychotics medication and data analyzed by univariate analysis. The results showed the number of patients who experienced orthostatic hypotension was 98 patients (32.67%) and no experienced were 202 patients (67.33%). Incidence of orthostatic hypotension in haloperidol 54.35% (N=46); trifluoperazine 100% (N=1); clozapine 84.62% (N=13); olanzapine 100% (N=1); haloperidol-chlorpromazine 27.27% (N=11); haloperidol-haloperidol 42.86% (N=7); clozapine-risperidone 16.67% (N=6); haloperidol-clozapine 15.05% (N=93); haloperidol-olanzapine 50% (N=2); haloperidol-risperidone 31.82% (N=22); trifluoperazine-olanzapine 100% (N=1); trifluoperazine-clozapine 22.22% (N=9); trifluoperazine-risperidone 5.56% (N=18); chlorpromazine-haloperidol-haloperidol 33.3% (N=3); chlorpromazine-haloperidol-trifluoperazine 100% (N=3); haloperidol-trifluoperazine-chlorpromazine 100% (N=1); chlorpromazine-haloperidol-clozapine 42.86% (N=7); chlorpromazine-trifluoperazine-clozapine 100% (N=1); chlorpromazine-trifluoperazine-olanzapine 100% (N=1); chlorpromazine-trifluoperazine-risperidone 50% (N=2); trifluoperazine-haloperidol-risperidone 100% (N=4); haloperidol-trifluoperazine-risperidone 100% (N=1); trifluoperazine-haloperidol-clozapine 40% (N=5); haloperidol-haloperidol-clozapine 80% (N=5); clozapine-risperidone-trifluoperazine 100% (N=4); risperidone-clozapine-haloperidol 20% (N=10). The conclusion from this study was the percentage of orthostatic hypotension on schizophrenia patients at the Sambang Lihum Mental Health Hospital was 32.67% (N=98).

2019 ◽  
Vol 7 (16) ◽  
pp. 2583-2589
Author(s):  
Nanda Sari Nuralita ◽  
Vita Camellia ◽  
Bahagia Loebis

BACKGROUND: Schizophrenia is a clinical syndrome that is variable, but highly disturbing; its psychopathology involves cognition, emotion, perception, and other aspects of behaviour. Schizophrenic patients who are hospitalised, who return to a family environment characterised by high levels of criticism, excessive emotional involvement, or hostility (referred to as high expressed emotion) are more likely to experience the recurrence than schizophrenic patients returning to families characterised by low expressed emotion. AIM: We aimed to investigate the level of care load in the families of schizophrenic patients. METHODS: This research is an analytic study with a cross-sectional approach. The research site is in the outpatient installation of BLUD Mental Health Hospital of North Sumatra Province using consecutive non-probability sampling. The samples are family members who carry schizophrenic patients go to an outpatient installation at the BLUD Mental Health Hospital of North Sumatra Province that meets the inclusion and exclusion criteria. RESULTS: The burden of care for the families of the most schizophrenic patients was mid load as many as 36 people, namely 36%, the light burden of 34 people, 34%, no burden of 18 people, 18%, and the heavy burden of 12 people, 12%. There is a significant relationship between the burden of treatment with expressed emotion, which is 0.004 (p < 0.05). CONCLUSION: In this study, we showed a significant relationship between the burden of treatment with expressed emotion (p = 0.004). This study is by the study conducted by Darwin in 2013, and Carra in 2012, which showed that there was a significant relationship between the burden of treatment with expressed emotion in the families of schizophrenic patients. Other studies also show that the burden of care has an impact on emotional, physical health, social life, and financial status as a result of caring for sick people.


2020 ◽  
Vol 8 (B) ◽  
pp. 586-591
Author(s):  
Nanda Sari Nuralita ◽  
Vita Camellia ◽  
Bahagia Loebis

BACKGROUND: Schizophrenia is a clinical syndrome that is variable, but highly disturbing; its psychopathology involves cognition, emotion, perception, and other aspects of behavior. Schizophrenic patients who are hospitalized, who return to a family environment characterized by high levels of criticism, excessive emotional involvement, or hostility (referred to as high expressed emotion), are more likely to experience the recurrence than schizophrenic patients returning to families characterized by low expressed emotion. AIM: We aimed to investigate relationship between caregiver burden and expressed emotion in families of schizophrenic patients. METHOD: This research is an analytic study with a cross-sectional approach. The research site is in the outpatient installation of BLUD Mental Health Hospital of North Sumatra Province using consecutive sampling non-probability sampling. The samples are family members who carry schizophrenic patients go to an outpatient installation at the BLUD Mental Health Hospital of North Sumatra Province that meets the inclusion and exclusion criteria. RESULT: The burden of care for the families of the most schizophrenic patients was mid load as many as 36 people, namely 36%, light burden of 34 people, 34%, no burden of 18 people, 18%, and heavy burden of 12 people, 12%. There is a significant relationship between the burden of treatment with expressed emotion, which is 0.004 (p < 0.05). CONCLUSION: In this study showed a significant relationship between the burden of treatment with expressed emotion (p = 0.004). This study is in accordance with the study conducted by Darwin in 2013, and Carra in 2012, which showed that there was a significant relationship between the burdens of treatment with expressed emotion in the families of schizophrenic patients. Other studies also show that the burden of care has an impact on emotional, physical health, social life, and financial status as a result of caring for sick people.


2015 ◽  
Vol 6 (4) ◽  
pp. 76-94
Author(s):  
Hend Ahmed Mostafa Hassinine ◽  
Mawaheb Mahmoud Zaki ◽  
Nahed Mohamed Morsy

Author(s):  
Catherine Douglas ◽  
Lisa Wood ◽  
Danny Taggart

Abstract Background: Personal recovery from psychosis has been explored extensively in community samples but there has been little exploration with people currently receiving care from an acute mental health in-patient setting. Aims: The aim of this study was to explore the personal recovery priorities of people experiencing psychosis who are currently receiving care from an acute mental health in-patient ward. Method: A Q-methodology mixed-methods approach was adopted. Thirty-eight participants were recruited from an outer London acute mental health hospital. They were required to sort 54 statements regarding personal recovery from most important to least important to reflect their recovery priorities. Thirty-six were included in the final analysis. Results: Analysis revealed four distinct viewpoints relating to factors that promote recovery in the acute mental health in-patient setting. These were: stability, independence and ‘keeping a roof over your head’; hope, optimism and enhancing well-being; personal change, self-management and social support; and symptom reduction through mental health support. Conclusions: Acute mental health in-patient wards need to ensure that they are considering the personal recovery needs of in-patients. Symptom reduction was valued by some, but broad psychosocial factors were also of priority.


PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0209242 ◽  
Author(s):  
Kristin Berre Ørjasæter ◽  
Larry Davidson ◽  
Marianne Hedlund ◽  
Ottar Bjerkeset ◽  
Ottar Ness

2010 ◽  
Vol 8 (1) ◽  
pp. 84-92 ◽  
Author(s):  
Suki Desai

Since 2005, CCTV cameras have featured as a tool for managing safety within mental health hospital wards in England and Wales. However this piece argues that the efficacy of cameras to control and manage violence within psychiatric wards remains inconclusive due to a lack of research, and there has been very little discussion of the impact that they might have on the vulnerable populations under the gaze of the camera.


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