ATTITUDE TOWARDS PSYCHIATRY AMONG NON-PSYCHIATRIC POSTGRADUATES IN A TERTIARY CARE TEACHING HOSPITAL

2021 ◽  
pp. 204-207
Author(s):  
Swati Singh ◽  
Arun Narayan Pradeep ◽  
Vadivambal Dinakaran ◽  
Arul Saravanan ◽  
M. Thirunavukarasu
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Negative Attitude ◽  
Mental Illnesses ◽  
Care Hospital ◽  
Cross Sectional ◽  
Major Barrier ◽  
Validated Questionnaire

It is a universal phenomenon that the stigma attached to mental illness and mentally ill is a major barrier in providing mental health services. Among doctors, the stigmatisation can further lead to decline in treating mental illness and compromises in patient care. Mental illnesses go unnoticed and unattended to most of the time. AIM-To study the attitude towards mental illness and psychiatry in non-psychiatric postgraduates in a tertiary care hospital. Materials and methods- This is a “Cross - sectional study” that was carried out among non-psychiatric post graduates in a tertiary care hospital using validated questionnaire among all non-psychiatric postgraduates Results- Out of 235 non-psychiatric postgraduate's only 200 postgraduates have lled questionnaire. Out of which 88 were male and 112 were females and 168 were from the clinical branch and 32 were from the non-clinical branch. Data analyse was by using SPSS. Total scores were high on MICA -4 (56.99±9.59) which represent negative attitude towards psychiatry. The majority of postgraduates have shown little interest in psychiatry in their MBBS programme and believe that functioning in a psychiatric setup is not respectful and have been reluctant to disclose their mental illness in front of friends and colleagues. On otherhand, they accepted that mental illness could be a treated and that people with psychiatric illness must have the right to live with dignity and not to be mistreated. Conclusion- The present study shows the negative perception of non-psychiatric medical post graduates. It shows the urgent need to revise the curriculum and correct the negative attitudes of non-psychiatric post graduates towards mental illness and to instil and impart the importance of mental health among students right from undergraduate days. This would help in providing people with mental illness a holistic care for their problems.

scholarly journals Family Support and Stigma among Patients Attending a Tertiary Care Hospital in Bangladesh

2017 ◽  
Vol 7 (2) ◽  
pp. 148-154
Author(s):  
Nasim Jahan ◽  
Mohammad Muntasir Maruf ◽  
Bushra Sultana ◽  
Samira Humaira Habib ◽  
Muhammad Zillur Rahman Khan ◽  
...  
Keyword(s):  
Mental Illness ◽  
Family Support ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Community Based Participatory Research ◽  
Mental Illness Stigma ◽  
Care Hospital ◽  
Cross Sectional ◽  
Major Barrier ◽  
Related Disorder

Background: Mental illness stigma continues to be a major barrier for individuals with mental illness.Methods: This study was a descriptive cross-sectional study conducted among the mentally ill patients attending Out Patient Department (OPD) in a tertiary care hospital of Dhaka city of Bangladesh, during the period from May 2013 to November 2013. The objective of the study was to assess the family support and stigma among the respondents. A total of 151 patients of 18 to 60 years attending in the OPD, National Institute of Mental Health (NIMH), Dhaka were selected purposefully to conduct the study. An informed consent was taken from the patients or care givers. Information about socio-demographic and psychosocial data was collected using the questionnaire designed by the researcher based on Factors Influencing Neuroleptic Medication Taking Scale (FNIMTS). Diagnoses of mental illness were done according to Diagnostic and Statistical Manual of Mental Disorders Text Revision (DSM-IV-TR) by psychiatrists.Results: The commonest diagnoses among the respondents were the schizophrenias (56.3%), bipolar mood disorders (23.8%) and substance related disorder (6.6%). Most were insightful into their mental illness (89.4%). Most of the respondents rated their perception of family support as good (66.2%). Most of the respondents believed that they would be treated differently if people knew they had a mental illness (57.6%) or on drugs for mental illness (54.3%). Among the presently employed respondents (21.85%) most (57.75%) were uncomfortable with the idea of telling employer about mental illness or being on drugs for it.Conclusion: A bridge for communication between people with mental illness, their families, and health care practitioners, may be a useful framework for guiding efforts to reduce stigma. Community-based participatory research principles and lived experiences are crucial elements in stigma reduction endeavors.Birdem Med J 2017; 7(2): 148-154

scholarly journals ASSESSMENT OF AWARNESS, KNOWLEDGE AND RISK FACTORS OF CHRONIC KIDNEY DISEASE AMONG DIABETES MELLITUS AND HYPERTENSIVE PATIENTS AT A TERTIARY CARE HOSPITAL

2020 ◽  
pp. 1-3
Author(s):  
K. Jesindha Beyatricks ◽  
Deepa shruthi G ◽  
Fizia Mohammadi ◽  
Feba Thomas ◽  
Omid Reza
Keyword(s):  
Risk Factors ◽  
Positive Attitude ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Negative Attitude ◽  
Good Knowledge ◽  
Care Hospital ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Hypertensive Patients

A prospective cross sectional study on the awareness, knowledge and risk factors of CKD among Diabetic and Hypertensive patients was conducted in the outpatient and inpatient wards of a tertiary care hospital in Bengaluru. A total number of 100 patients were included in the study. The results indicated that, out of 100 patients, 38% was having knowledge and 62% were without knowledge. 43% were having positive attitude and 57% with a negative attitude. It was found that majority of the people were without knowledge, that is 62% and negative attitude 57%. The study revealed that among educated people, 55.55% was having poor knowledge and 44.44% was having good knowledge. Among uneducated people, 64.86 % was having poor knowledge and 35.13 % was having good knowledge. Among 100 participants, 43% has positive attitude and 57% has negative attitude.

scholarly journals Medication adherence and its determinants amongst anti-hypertensive patients in a tertiary care hospital in Navi Mumbai

2020 ◽  
Vol 9 (2) ◽  
pp. 328
Author(s):  
Satyendra B. Badhe ◽  
Pramila V. Yadav ◽  
Pradnya S. Deolekar ◽  
Suvarna B. Badhe ◽  
Mihika Aggarwal
Keyword(s):  
Medication Adherence ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Sociodemographic Factors ◽  
Uncontrolled Hypertension ◽  
Care Hospital ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Validated Questionnaire ◽  
Chi Squared

Background: Anti-hypertensive drugs can effectively control hypertension, subject to good adherence. Uncontrolled hypertension can lead to numerous complications, some even potentially fatal, such as myocardial infarction, atherosclerosis, thromboembolism, shock and stroke.Methods: A cross-sectional prospective study was conducted with the help of a pre-validated questionnaire during the course of 6 months in the medicine outpatient department and the inpatient department (wards) at a tertiary care hospital, Navi Mumbai in 200 hypertensive patients to calculate the correlation of the sociodemographic factors with adherence by the chi-squared test.Results: The overall percentage of adherence to antihypertensive medication was 34.8%. It was the highest (72.1%) in the younger age group, i.e., below 50 years. It was observed that as the age increases, the adherence to treatment decreases. Adherence rates were significantly higher among females and those individuals who had never attended school. Among the employed, 70.3% were adherent to their treatment and among the unemployed, 64.4% were adherent. The percentage of adherence was lower in alcohol consumers (9.5%) as compared to nonusers (76% and 32%, respectively).Conclusions: The clinician advising anti-hypertensive therapy should provide thorough counselling and stress on the issues created due to poor medication adherence as hypertension can be associated with severe outcomes. Treatments should be given in accordance with each patient’s lifestyles in mind such that they may continue taking their medications till the completion of their therapy.

scholarly journals Composite Anxiety-depression among Medical Undergraduates during COVID-19 Pandemic in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2021 ◽  
Vol 59 (241) ◽  
pp. 881-885
Author(s):  
Pratikshya Chalise Chalise ◽  
Avilasha Singh ◽  
Era Rawal ◽  
Pravash Budhathoki ◽  
Satyasuna Sharma ◽  
...  
Keyword(s):  
Mental Health ◽  
Confidence Interval ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical Undergraduates ◽  
Anxiety Depression

Introduction: Fear and anxiety is a natural response during crisis. From constant worry of getting infected, death of loved ones, transitioning of lifestyle to loss of social connection; there can be several psychological triggers. The effect on mental health on the general population could be greater than those affected by the infection itself during the pandemic. Among medical students, who already have several other psychological afflictions, these triggers might be detrimental. Hence, this study aims to find out the prevalence of composite anxiety-depression among medical undergraduates in a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted among medical undergraduates in a tertiary care hospital from 20th December 2020 to 5th January 2021. Ethical approval was taken from the Institutional Review Committee. The sample size was calculated and convenient sampling was done. The data were entered in International Business Machines Statistical Package for Social Sciences version 20.0. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Out of 315 participants on the Patient Health Questionnaire-Anxiety and Depression Scale, severe composite anxiety-depression was seen in 10 (3.17%) at 95% Confidence Interval (1.23-5.1) participants, moderate in 35 (11.11%) at 95% Confidence Interval (7.63-14.58) and mild in 98 (31.11%) at 95% Confidence Interval (25.99-36.22). And 172 (54.6%) at 95% Confidence Interval (49.1-60) were normal. Conclusions: The rapid rise of apprehension among people amidst infectious outbreaks can ensue and medical students are no exception. So, at this time of crisis, there is a need to protect their mental health and it should be emphasized and endorsed.

scholarly journals Comparative study of psychiatric patients receiving treatment in tertiary care hospital and in primary health care center

2020 ◽  
Vol 7 (7) ◽  
pp. 1093
Author(s):  
C. Guruprasad ◽  
Dayananda Sagar L. ◽  
Vishwanatha . ◽  
Chandrashekar H.
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Patient Satisfaction ◽  
Tertiary Care Hospital ◽  
Care Center ◽  
Tertiary Care ◽  
Care Hospital ◽  
Tertiary Care Center ◽  
Primary Health

Background: Integrating mental health services into primary care is the most viable way of closing the treatment gap and ensuring that people get the mental health care they need. Government of Karnataka initiated the Manochaitanya programme to ensure that mental health services at all primary health care centers, community health centers and taluk hospitals on every Tuesday. Its required to know the patient satisfaction in this programme.Methods: This study was conducted over a period of two years, cross-sectionally seen 102 cases from 9 PHC’s that runs psychiatric clinics every Tuesday. This population was compared with 107 from Tertiary care center. All were assessed by the Psychiatrist using ICD-10 clinically after the informed consent. After 3 follow ups they were assessed with semi structured proforma, Indian Disability Evaluation and Assessment Scale (IDEAS), Global Assessment of Functioning (GAF), Patient Satisfaction Questionnaire Short Form (PSQ-18) instruments.Results: The Patient satisfaction was found to be higher in PHCs 83.07±8.72 compared to tertiary subjects 75.27±9.51 (p<0.05). Severe mental illness was higher 48.96% in PHCs as compared to tertiary care center common mental illness 23.36%. Subjects from tertiary care centres report higher GAF score (65%) higher among tertiary care subjects than their PHC counterparts (35%).Conclusions: The patients receiving treatment in PHC’s reported more satisfaction than those who receive treatment in tertiary care center. Higher disability scores on IDEAS in PHC’s than tertiary Center due reporting of more cases of severe mental illness in PHC’s. Married patients have shown higher satisfaction as compared to single/ Divorced/ Separated patients. Alcohol Dependence Syndrome was found to be more in tertiary care hospital than in PHC’s.

scholarly journals Assessment of knowledge, attitudes and practice among interns about over the counter drugs in a tertiary care hospital in India

2019 ◽  
Vol 8 (11) ◽  
pp. 2485
Author(s):  
Sudipto Chatterjee ◽  
R. Vijendra ◽  
K. Girish ◽  
Mahesh Kumar Manjeri Koroth
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Cross Sectional ◽  
Over The Counter ◽  
Otc Drugs ◽  
Attitude And Practice ◽  
Validated Questionnaire ◽  
Medical Interns ◽  
Knowledge Attitude And Practice

Background: Drugs that are dispensed against a valid prescription issued to a patient by a registered medical practitioner are known as “prescription-only drugs”. In India, they have been regulated under schedule H, H1, G, and X of the Drugs and Rules (1945). The drugs which are not included in the list of “prescription-only drugs” are considered to be over-the-counter drugs (OTC). There is no provision for an OTC drug schedule in the Drugs and Cosmetics Rules 1945, and these drugs have higher chances of misuse or abuse. This study was undertaken to assess the knowledge, attitudes and practice among medical interns about OTC drugs in a tertiary care hospital in India.Methods: This was a cross-sectional study, which was conducted at Kempegowda Institute of Medical Sciences and Research Center, Bangalore, Karnataka, India, from March 2018 to September 2018. A pre-validated questionnaire consisting of 24 questions to assess the knowledge, attitude, and practice was administered to 80 medical interns chosen by simple randomization, out of which 14 questions were related to knowledge, 6 related to attitude and 4 related to the practice. The participants were provided 30 minutes to complete the questionnaire. The data recorded were analyzed using Microsoft Excel.Results: There were some gaps in the knowledge, attitude and practice among the medical interns about OTC medications.Conclusions: There is a need for special emphasis on the MBBS curriculum about the use of OTC drugs.

scholarly journals The Perspective of General Practitioners about Mental Illness: A Cross-sectional Observational Study from a Tertiary Care Centre, Pakistan

2021 ◽  
pp. 42-49
Author(s):  
Muhammad Iqbal Afridi ◽  
Jawed Akbar Dars ◽  
Chooni Lal ◽  
Rakesh Kumar ◽  
. Sadia ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Observational Study ◽  
General Practitioners ◽  
Tertiary Care ◽  
Mental Health Disorders ◽  
Mental Illnesses ◽  
Cross Sectional ◽  
Health Disorders

Objectives: To assess the general practitioner's perspective on mental illness in a tertiary health care setting. Study Setting and Duration: Online seminar in March 2020, Jinnah Postgraduate Medical Centre, Karachi. Study Design: Cross-sectional, Observational study Methodology: A total of 152 general practitioners were enrolled in the study. All house officers, psychiatric specialists, staff members, and patients were excluded from the study. An online survey instrument was used to collect data from general practitioners through social media. The questionnaire was related to the biodata of the physicians and their perspective on mental health disorders. Data was analyzed by using SPSS Version 26. Results: A total of 152 general practitioners participated in the study. The mean age of participants was 39.76 (11.540) years. The majority of them were male and married with an average experience of 12.80 (10.90) years. According to the participants, the most common symptoms experienced by patients with mental disorders were loss of appetite, hopelessness, and the loss of interest in day to day activities. The majority of the doctors confessed they find the treatment and management of psychiatric illnesses the hardest. Most of the participants were aware of the diagnostic criteria used for common mental health disorders. Over a hundred (66.4%) participants considered mental health disorders to be a medical disorder while 16 (10.5%) assumed it is the possession by supernatural creatures. 65 (42.7%) of the doctors confessed that they would not feel comfortable having a coworker or befriending a person with a diagnosed mental health issue. Conclusion: Our findings suggest that general physicians had good knowledge about common mental illnesses; however they found the management of these patients difficult. Mental health awareness and training intervention tools are needed to help improve the perspective of health care professionals towards patients with suspected mental illnesses.

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