Transfers due to Physical Illnesses among Patients in the Chronic Psychiatric Ward

Hui-Chun Huang; Hung-Yu Chan

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P101 - 110+iii

医药卫生 > 社会医学

DOI： 10.29478/TJP

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Transfers due to Physical Illnesses among Patients in the Chronic Psychiatric Ward

精神科慢性病房病人因身体疾患转诊治疗的因子分析

黄惠群(Hui-Chun Huang) ；詹宏裕(Hung-Yu Chan)

台湾精神医学； 30 卷 2 期 (2016 / 06 / 01) ， P101 - 110+iii

英文

慢性病房；身体疾患；转诊；危险因子； chronic psychiatric ward ； physical illness ； transfers ； risk factors

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摘要 │ 参考文献 (25) │ 被引用文献 (1) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Objectives: Patients with psychiatric diseases are more likely to have medical co-morbidities and increased mortality than those in the general population. Staff at psychiatric institutions face challenges in the aspect of medical care toward physical illnesses with limited medical resources, especially in the psychiatric chronic ward. In this study, we intended to examine the characteristics and related risk factors of transfers due to physical illnesses among individuals in the chronic psychiatric ward. Methods: This is a retrospective chart review study. We extracted records of transfers due to physical illness among the patients in the chronic psychiatric ward of Taoyuan Psychiatric Center from January 1, 2011 to June 30, 2013. Demographic data were also collected. Results: During the study period, 34.8% of the patients in the chronic psychiatric ward were ever transferred due to physical illnesses. Of 455 episodes of transfers, 22.7% of them visited emergency department at least once and 7.8% of them suffered from at least one general medical hospital admission. The most common diagnosis of transfers and further general medical hospital admission was pneumonia. Elder age (adjusted odds ratio = 1.04, 95% confi dence interval = 1.02 - 1.06, p ＜ 0.001) and schizophrenia diagnosis (AOR = 3.63, 95% CI = 1.51 - 8.68, p ＜ 0.01) were signifi cantly associated with higher emergency department transfers. Further, elder age (AOR = 1.03, 95% CI= 1.01 - 1.06, p ＜ 0.05) and smoking history (AOR = 2.71, 95% CI = 1.23 - 5.97, p ＜ 0.01) were also signifi cantly associated with higher risk of pneumonia. Conclusion: High prevalence of medical transferals due to physical illness was found among the chronic psychiatric ward. Studies further focusing on the physical health among the chronic ward was mandated. Programs for enhancing psychical health, early prevention and detection of physical diseases among individuals in the chronic psychiatric ward are needed.

参考文献 ( 25 ) 〈TOP〉

Lu, RB(2013).Smoking in patients with mental illnesses: the magnitude of the problem among the mentally ill.Taiwanese Journal of Psychiatry,27,167-170.
连结：
Wu, EL.,Chen, JJ,Chan, HY,Chien, IC(2013).Smoking behavior among psychiatric inpatients in Taiwan.Taiwanese Journal of Psychiatry,27,238-244.
连结：
Allison, DB,Mentore, JL,Heo, M(1999).Antipsychotic-induced weight gain: a comprehensive research synthesis.Am J Psychiatry,156,1686-1696.
Baik, I,Curhan, GC,Rimm, EB,Bendich, A,Willett, WC,Fawzi, WW(2000).A prospective study of age and lifestyle factors in relation to community-acquired pneumonia in US men and women.Arch Intern Med,160,3082-3088.
Berren, MR,Santiago, JM,Zent, MR,Carbone, CP(1999).Health care utilization by persons with severe and persistent mental illness.Psychiatr Serv,50,559-561.

被引用文献 ( 1 ) 〈TOP〉

游淑真(2017)。从旋转门效应來看精神疾患者的社区照顾服务。社会工作实务与研究学刊，5，59-98。

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