A Descriptive Study on the Factors Influencing Readmission of Mentally Ill Adults at Chainama Hills College Hospital, Lusaka, Zambia
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Introduction: Mental illness is becoming a worldwide concern with at least one in four persons suffering from mental illness in both developed and developing countries. Mental illnesses account for about 14% of the disease burden worldwide and are projected to reach 15% in the future. Readmission to psychiatric wards of patients is one of the biggest challenges in the field of psychiatry and hence reduces the quality of life of individual patients as well as increasing the years of lost life of the patients.
Objective: This research aims at determining the factors influencing the readmission of mentally ill adults at Chainama Hills College Hospital (CHCH), Lusaka, Zambia.
Method: This was a quantitative cross-sectional study with a sampling of 94 patients, who seek service at CHCH. The data collection was done through a validated questionnaire. The questionnaire included demographic characteristics of patients, health facility factors associated with the readmission of psychiatric patients, and patient-related factors associated with the readmission of mental patients. Data were analyzed and processed using Statistical Package for Social Sciences (SPSS) version 25.
Results: The analysis and presentation of results in this research provide relevant evidence that can be used to meet the objective of this research. The results were presented with a 5% level of significance and 95% confidence. The Pearson Chi-square test was used with a (p-value of 0.232). These results have revealed there was no significant difference between the factors influencing the readmission of mentally ill adults.
Conclusion: No socio-demographic, factor was found to be strongly associated with readmission of psychiatric adult patients. Single, and unemployed patients were more frequently readmitted than the patients from other social groups. The young patients were readmitted more often than elders. Adult patients who stayed near the health facility were more likely to be readmitted than those who stayed far away. Stress had some association with readmissions.
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References
-
World Health Organization. About mental disorders. World Health Organization: Regional Office for the Eastern Mediterranean; 2019.
Google Scholar
1
-
Petlovanyi P, Tsarkov A. Child Schizophrenia: Theory and Practice. European Journal of Medical and Health Sciences. 2020; 2(1): 1-5.
DOI | Google Scholar
2
-
Petlovanyi P, Tsarkov A. Practical guide and some recommendations for the diagnosis and management of Attention deficit hyperactivity disorder (ADHD). World Journal of Advanced Research and Reviews (WJARR). 2020; 6(3): 257-261.
DOI | Google Scholar
3
-
Tsarkov A, Petlovanyi P. Depressive Disorder in Child Psychiatric Practice: A Case Report. Health Press Zambia Bull. 2017; 1(5): 9-16.
Google Scholar
4
-
Tsarkov A, Petlovanyi P. Bipolar Disorder in Child Psychiatric Practice: A Case Report. Medical Journal of Zambia. 2016; 43(1): 41-46.
Google Scholar
5
-
Botha UA, Koen L, Joska JA, Parker JS, Horn N, Hering LM, et al. The revolving door phenomenon in psychiatry: comparing low-frequency and high-frequency users of psychiatric inpatient services in a developing country. Social Psychiatry and Psychiatric Epidemiology. 2010; 45: 461-468.
DOI | Google Scholar
6
-
Mukazungu J. Factors Associated with Readmission of Psychiatric Patients to the Mental Health unit in Jinja Regional Hospital (1-BNS-TU-041). University Publications: Lusaka; 2011.
Google Scholar
7
-
Tsarkov A, Petlovanyi P. Pathological Gambling: The Old Problem of the Modern World. Imperial Journal of Interdisciplinary Research (IJIR). 2017; 3(8): 216-221.
Google Scholar
8
-
Barekatain M, Maracy MR, Hassannejad R, Hosseini R. Factors associated with readmission of patients at a university hospital psychiatric ward in Iran. Psychiatry J. 2013; 685625.
DOI | Google Scholar
9
-
Hackbarth GM, Ebeler JC, Miller ME. Reforming the health care delivery system. Statement of Chairman, Medicare Payment Advisory Commission before the Ways and Means Committee, US House of Representatives. 2009; 9.
Google Scholar
10
-
Alene M, Wiese MD, Angamo MT, Bajorek BV, Yesuf EA, Wabe NT. Adherence to medication for the treatment of psychosis: rates and risk factors in an Ethiopian population. BMC Clinical Pharmacology. 2012; 12(1): 1-9.
DOI | Google Scholar
11
-
Ministry of Health (MOH). Ministry of Health Annual Report. MOH Publishing; 2015.
Google Scholar
12
-
Mental Health Technical Group. Mental Health & Poverty Project (MHaPP): Report. Alan J Flisher Centre for Public Mental Health; 2014.
Google Scholar
13
-
Tsarkov A, Petlovanyi P. The role of lamotrigine in the treatment of bipolar depression. Imperial Journal of Interdisciplinary Research. 2017; 3(8): 131-134.
Google Scholar
14
-
Tsarkov A, Petlovanyi P. Use of pramipexole in neuropsychiatry. World Journal of Advanced Research and Reviews. 2020; 7(2): 82-88.
DOI | Google Scholar
15
-
Tsarkov A, Msoni P, Petlovanyi P. Induced Delusional Disorder: A Case Report. British Journal of Medical and Health Research. 2018: 12-22.
DOI | Google Scholar
16
-
Tsarkov A, Patrick M, Petlovanyi P. Uncommon presentation: Folie à deux (Case study). World Journal of Advanced Research and Reviews. 2020; 6: 43-49.
DOI | Google Scholar
17
-
Akincigil A, Hoover DR, Walkup JT, Prince JD, Kalay E, Crystal S. Hospitalization for psychiatric illness among community-dwelling elderly persons in 1992 and 2002. Psychiatric Services. 2008; 59(9): 1046-1048.
DOI | Google Scholar
18
-
Gentil L, Grenier G, Fleury MJ. Factors related to 30-day readmission following hospitalization for any medical reason among patients with mental disorders. The Canadian Journal of Psychiatry. 2021; 66(1): 43-55.
DOI | Google Scholar
19
-
United Nations (UN). Transforming Our World: The 2030 Agenda for Sustainable Development. UN: New York, NY, USA; 2015.
Google Scholar
20
-
Vigod SN, Taylor VH, Fung K, Kurdyak PA. Within-hospital readmission: an indicator of readmission after discharge from psychiatric hospitalization. The Canadian Journal of Psychiatry. 2013; 58(8): 476-481.
DOI | Google Scholar
21
-
Phiri C, Tsarkov A, Petlovanyi P, Lingenda G. Factors Contributing To Oral Diseases and Treatment Needs amongst Mental Patients at Chainama Hills College Hospital, Lusaka, Zambia. Imperial Journal of Interdisciplinary Research. 2017; 3(11): 495-504.
Google Scholar
22
-
Mayeya J, Chazulwa R, Mayeya PN, Mbewe E, Magolo LM, Kasisi F, et al. Zambia mental health country profile. International Review of Psychiatry. 2004; 16(1-2): 63-72.
DOI | Google Scholar
23
-
Niehaus DJ, Koen L, Galal U, Dhansay K, Oosthuizen PP, Emsley RA, et al. Crisis discharges and readmission risk in acute psychiatric male inpatients. BMC psychiatry. 2008; 8: 1-6.
DOI | Google Scholar
24
-
Silva NC, Bassani DG, Palazzo LS. A case-control study of factors associated with multiple psychiatric readmissions. Psychiatric Services. 2009; 60(6): 786-791.
DOI | Google Scholar
25
-
Mwenya CC, Tsarkov A, Petlovanyi P, Paul R. Neurocognitive deficits among adult road traffic accident victims at the University Teaching Hospital, Lusaka, Zambia. World Journal of Advanced Research and Reviews. 2021; 11(3): 436-452.
DOI | Google Scholar
26
-
Tsarkov A, Petlovanyi P. Neuropsychiatric aspects of a common problem: stroke. European Journal of Medical and Health Sciences. 2019; 1(3): 1-6.
DOI | Google Scholar
27
-
Tsarkov A, Petlovanyi P. Omega-3 Fatty Acids as an Alternative Treatment for Children with Attention Deficit Hyperactivity Disorder. Imperial Journal of Interdisciplinary Research. 2017; 3(2): 1378-1380.
Google Scholar
28
-
Kazadi NJ, Moosa MY, Jeenah FY. Factors associated with relapse in schizophrenia. South African Journal of Psychiatry. 2008; 14(2): 52-62.
DOI | Google Scholar
29
-
Hagopian A, Zuyderduin A, Kyobutungi N, Yumkella F. Job satisfaction and morale in the Ugandan Health Workforce: The Ministry of Health must focus on ways to keep health care workers from leaving their jobs or leaving the country altogether. Health Affairs. 2009; 28(Suppl1): w863-w875.
DOI | Google Scholar
30
-
Simwangala K, Tsarkov A, Petlovanyi P, Paul R. Exploring neurocognitive deficits among children with sickle cell disease and its impact on their quality of life at the University Teaching Hospital, Lusaka, Zambia. World Journal of Advanced Research and Reviews. 2022; 14(3): 159-169.
DOI | Google Scholar
31
-
Mushivi P, Tsarkov A, Petlovanyi P, Paul R. The effects of fluoxetine in improving the neurocognitive functioning of children with attention deficit hyperactivity disorder attending the psychiatric clinic of the University Teaching Hospital, Lusaka, Zambia. World Journal of Advanced Research and Reviews. 2022; 15(2): 405-416.
DOI | Google Scholar
32
-
Pandu MH, Tsarkov A, Petlovanyi P, Paul R. Optimization of Early Diagnosis of Glucose Metabolism Impairment for Patients Receiving Antipsychotic Medications at the Outpatient Psychiatric Clinic of the University Teaching Hospital, Lusaka, Zambia. European Journal of Medical and Health Sciences. 2022; 4(4): 75-83.
DOI | Google Scholar
33
-
Park J, Hain DJ, Tappen R, Diaz S, Ouslander JG. Factors associated with 30-day hospital readmissions among participants in a care transition quality improvement program. Journal of the Society for Social Work and Research. 2012; 3(4): 308-328.
DOI | Google Scholar
34
-
Chabungbam G, Avasthi A, Sharan P. Sociodemographic and clinical factors associated with relapse in schizophrenia. Psychiatry and Clinical Neurosciences. 2007; 61(6): 587-593.
DOI | Google Scholar
35
-
Kumar JSJ, Paul R, Tsarkov A, Zyambo C. The Prevalence of Alcohol Use among Pregnant Women Attending Antenatal Clinic at Mother and New Born Hospital-University Teaching Hospital, Lusaka. Zambia. EC Psychology and Psychiatry. 2020; 9: 87-111.
Google Scholar
36
-
McCarthy DM, Tomlinson KL, Anderson KG, Marlatt GA, Brown SA. Relapse in alcohol-and drug-disordered adolescents with comorbid psychopathology: Changes in psychiatric symptoms. Psychology of Addictive Behaviors. 2005; 19(1): 28-34.
DOI | Google Scholar
37
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