| dc.description.abstract | According to WHO’s Global Burden of Disease
2010, nearly 450 million people suffer from
behavioural or mental disorders in the world.
Inpatient mental health treatment facilities are
one of the ways of mental health help available to
patients with psychiatric disorders. Patients who
are discharged to home following an acute care
after hospitalization, have a higher probability
of being readmitted to hospital. Readmission
has a significant impact on the reduction of the
quality of life and the increase in the years of lost
life due to psychiatric disorders. The objective of
the study was to identify and assess the factors
related to readmission explained by the relatives
of patients with psychiatric disorders in NIMH.
Descriptive cross-sectional study was conducted
among a purposive sample of randomly selected
200 relatives of patients with psychiatric
disorders. Ethical approval was obtained
from the ethics review committees of KIU and
NIMH. Researchers-administered structured
questionnaire was used to collect the data from
relatives who visit readmitted patient in wards
five, eight, ten and twelve. Readmission rates
were high among Schizophrenia patients (40%)
and patients with Bipolar Affective Disorder
(36%) and other disease conditions were manic
disorder, depression, psychosis, post-partum
psychotic, disorders due to drug abuse and
intellectual disabilities, etc. Associated factors
for readmission were poor drug compliance
(79%), poor community support (80.5%), lack
of a permanent care giver (84%) and lack of
awareness of the relatives about proper patient
management (56%), medical comorbidities,
unplanned discharge, substance abuse, etc.
Among readmissions 84% of patients did not
attend to the regular follow up clinics. Most of the
readmissions were preventable through proper
discharge planning, provision of sufficient health
education for the patients and their relatives, and
regular follow up programmes. | en_US |
