본문 바로가기
KERD
논문KCI 등재

만성조현병 환자의 장기입원 요인에 대한 연구

A Study on Factors Related to Long-term Hospitalization in Patients with Chronic Schizophrenia

1

조회

0

다운로드

14

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objectives ZZThe purpose of this study is to investigate the factors related to long-term hospitalization of schizophrenia. MethodsZZThe subjects were inpatients with schizophrenia who were constantly hospitalized for more than 12 months and their caregivers. They were compared with schizophrenia with no previous experience of sustained hospitalization for more than 12 months and their caregivers. Demographic and clinical data, Korea version of the Positive and Negative Symptom Scale, functional disability and family burden scale were analyzed. ResultsZZIn this study long-term hospitalization of schizophrenia was influenced by the following measures. First, primary caregivers variables such as parents/non-parents and cohabitation with patients, second, negative symptom severity of passive/apathetic social withdrawal and lack of spontaneity and flow of conversation, and third, functional disability of go to hospital/take a dose regularly and using public transportation/facilities were associated with long-term hospitalization. And they were significant in logistic regression analysis. ConclusionZZThe above results suggest that long-term hospitalization of schizophrenic patients in Korea might be affected by caregiver’s factor, negative symptoms, and functional disability.

Abstract

Objectives ZZThe purpose of this study is to investigate the factors related to long-term hospitalization of schizophrenia. MethodsZZThe subjects were inpatients with schizophrenia who were constantly hospitalized for more than 12 months and their caregivers. They were compared with schizophrenia with no previous experience of sustained hospitalization for more than 12 months and their caregivers. Demographic and clinical data, Korea version of the Positive and Negative Symptom Scale, functional disability and family burden scale were analyzed. ResultsZZIn this study long-term hospitalization of schizophrenia was influenced by the following measures. First, primary caregivers variables such as parents/non-parents and cohabitation with patients, second, negative symptom severity of passive/apathetic social withdrawal and lack of spontaneity and flow of conversation, and third, functional disability of go to hospital/take a dose regularly and using public transportation/facilities were associated with long-term hospitalization. And they were significant in logistic regression analysis. ConclusionZZThe above results suggest that long-term hospitalization of schizophrenic patients in Korea might be affected by caregiver’s factor, negative symptoms, and functional disability.

참고문헌 (34)

  1. Mattes JA, "The optimal length of hospitalization for psychiatric patients:a review of the literature", Hosp Community Psychiatry, 33, pp.824~828 (1982)
  2. Thornicroft G, "Outcomes for long-term patients one year after discharge from a psychiatric hospital", Psychiatr Serv, 56, pp.1416~1422 (2005)
  3. Caton CL, "A review of issues surrounding length of psychiatric hospitalization", Hosp Community Psychiatry, 38, pp.858~863 (1987)
  4. Kiesler CA, "Predicting length of hospital stay for psychiatric inpatients", Hosp Community Psychiatry, 41, pp.149~154 (1990)
  5. McGorry PD, "Early intervention in psychotic disorders: detection and treatment of the first episode and the critical early stages", Med J Aust, 187(7 Suppl), pp.S8~S10 (2007)
  6. Mental health act, "Korea Ministry of Health and Welfare", Korea Ministry of Health and Welfare, ~ (2008)
  7. Restriction measures for long-term hospitalization of psychiatric institution, "Korea Policy Materials of Parliamentary Audit", National Assembly Research Service, ~ (2013)
  8. 서동우, "사회인구학 및 임상적 특성과 입원시설 종류에 따른 정신보건시설 입원환자의 재원기간 분포", 신경정신의학, 41(6), pp.1174~1184 (2002), 대한신경정신의학회
  9. 김시경, "정신보건심판위원회 계속입원치료 심사지침 평가", 신경정신의학, 50(6), pp.441~449 (2011), 대한신경정신의학회
  10. Lee YM, "Length of stay in the mental health facilities in Korea", J Korean Neuropsychiatr Assoc, 37, pp.83~94 (1998)
  11. 조성진, "정신보건 관련 시설의 재원 기간 및 관련 요인에 대한 연구", 신경정신의학, 45(4), pp.372~381 (2006), 대한신경정신의학회
  12. 서동우, "정신보건관련시설 입원 및 수용환자의 재원기간 영향요인", 신경정신의학, 42(6), pp.761~770 (2003), 대한신경정신의학회
  13. Chang G, "Factors predicting inpatient length of stay in a CMHC", Hosp Community Psychiatry, 42, pp.853~855 (1991)
  14. Huntley DA, "Predicting length of stay in an acute psychiatric hospital", Psychiatr Serv, 49, pp.1049~1053 (1998)
  15. Lave JR, "Effect of the structure of hospital payment on length of stay", Health Serv Res, 25, pp.327~347 (1990)
  16. Goodpastor WA, "Factors associated with multiple readmissions to an urban public psychiatric hospital", Hosp Community Psychiatry, 42, pp.85~87 (1991)
  17. 서수경, "우리나라 정신질환자의 의료이용 현황과 장기입원 관련 요인", 예방의학회지, 42(6), pp.416~423 (2009), 대한예방의학회
  18. 최정규, "국내 정신보건시설의 재원기간과 관련된 정신사회적 요인", 신경정신의학, 52(2), pp.98~107 (2013), 대한신경정신의학회
  19. Creed F, "Predicting length of stay in psychiatry", Psychol Med, 27, pp.961~966 (1997)
  20. Statistics of health insurance review and assessment service, "Korea National Statistical Office", Statistics Korea, ~ (2012)
  21. Munich RL, "Review of psychiatry. Vol. 11", pp.501~534 (1992), American Psychiatric Press
  22. Malik P, "Distress in primary caregivers and patients listed for liver transplantation", Psychiatry Res, 215, pp.159~162 (2014)
  23. Primary caregiver’s responsibilities, "California Deparment of Public Health", California Department of Public Health, ~ (2012)
  24. 이중서, "한국판 양성 및 음성증후군 척도(Positive and Negative Syndrome Scale)의 신뢰도와 타당도", 신경정신의학, 40(6), pp.1090~1105 (2001), 대한신경정신의학회
  25. Disability grade determination guideline, "Korea Ministry of Health and Welfare", Korea Ministry of Health and Welfare, ~ (2012)
  26. Kim CK, "Development of the Korean Version of the Social Adjustment Scale in the schizophrenics:a study on the reliability and validity", J Korean Neuropsychiatr Assoc, 38, pp.1351~1364 (1999)
  27. Kay SR, "The positive and negative syndrome scale (PANSS) for schizophrenia", Schizophr Bull, 13, pp.261~276 (1987)
  28. Chung IW, "Influetial factors of the cohabitation intention of the mentally-ill patient’s family", J Korean Assoc Soc Psychiatry, 7, pp.3~9 (2002)
  29. Kwang DH, "The Objective and subjective family burden of schizophrenic patient.", J Korean Neuropsychiatr Assoc, 34, pp.193~203 (1995)
  30. A study for reclassification of mentally ill patients and development standard of mental health institutions, "Lee HY", Korea Ministry of Health and Welfare, ~ (1994)
  31. Kirkpatrick B, "The NIMHMATRICS consensus statement on negative symptoms", Schizophr Bull, 32, pp.214~219 (2006)
  32. Kring AM, "The Clinical Assessment Interview for Negative Symptoms (CAINS): final development and validation", Am J Psychiatry, 170, pp.165~172 (2013)
  33. Tiihonen J, "A nationwide cohort study of oral and depot antipsychotics after first hospitalization for schizophrenia", Am J Psychiatry, 168, pp.603~609 (2011)
  34. Kim CK, "Family Burden of Schizophrenics in the Primary Caregivers and Siblings", J Korean Neuropsychiatr Assoc, 39, pp.113~127 (2000)

관련 논문AI추천

이 간행물의 다른 논문 (16건)