Relationships Between Causes of Psychiatric Readmission and To Validate Psychoeducational Module

Background: Readmission rate can provide an importantindicator of the global functioning of the health system such as,the articulation between inpatient treatment and communityinterventions. It provides an important tool in planning mentalhealth services. The present study highlights the causes ofreadmissions for psychiatric patients with a view to preparepsychoeducational module. It has scope in various fields likemedical and paramedical. It will help to prevent relapse andreadmissions in psychiatric patients and to the nurses inproviding psychoeducation to the patient and family.Materials and Methods: The study was conducted 100psychiatric patients who were re-admitted in 2 selectedinpatient mental health setups in Pune, Maharashtra. Semistructured questionnaire based on causes of psychiatricreadmissions was used which consisted of 30 questions withmultiple options. Descriptive and inferential statistics wereplanned to analyze the data obtained through interviews.Findings of previous functional pattern of readmitted patients–It was analyzed by mean, median, mode, standard deviationand mean %. The relationship between causes of psychiatricreadmissions and selected demographic variables were foundout by using Chi Square test.Results: The data presented in the table 2, figure 1 showsthat highest affected functional pattern in previous 3 months isself activity (35.07%) followed by dietary pattern (36.5%),health promotional activities (42.3%), relation with family(49.1%), social adjustment (52.7%) and self care (61.6%). Themost non affected functional pattern is economical adjustment(69.11%).Conclusion: Schizophrenia is the common condition of whichmaximum readmissions are found. With the help ofpsychoeducational module, the staff nurses, student nursescan provide psychoeducation to the patients and caregiversabout the comprehensive care of psychiatric patients at thehome including the psychosocial rehabilitation. Thus, therelapse and readmission of psychiatric patients can beprevented in mental health setups

Assessment of Causes of Psychiatric Readmissions in Selected In-Patient Mental Health Setup

Introduction: In current psychiatric practices there are manyopportunities to reduce readmission rates by furtherdevelopment and optimal utilization of biological andpsychosocial intervention. Therefore the researcher hasplanned to take study which will reveal causes for psychiatricpatient’s readmission and plan the intervention.Materials and Methods: The study was conducted among 100patients in 2 selected inpatient mental health setups of Pune.There were 30 questions with multiple choices based oncauses of psychiatric readmissions. The overall questions weredivided into various factors like family factors, physical factor,psychological factor, hospitalized and personnel factors.Descriptive and inferential statistics were planned to analyzethe data obtained through interviews.Results: The commonest personal causes for readmissionsare stoppage of medicine 56% with various reasons like sideeffects (96%), drug non compliance (72%), unnecessary stress(28%) and irregular follow up (77%). The psychological factorsresponsible for readmissions are lack of interest in friends andrelatives (75%), aggressiveness (68%), abusive and assultive(53%), irritability (58%), hallucination and wandering tendency(65%) and loss of interest in day to day activities (63%).Conclusion: The commonest causes responsible forreadmission are drug non-compliance, irregular follow up,stress, lack of insight, expressed emotions of family, burden onfamily, and commonest physical and psychological symptomssuch as headache, insomnia, lack of personal hygiene,hallucination, aggressiveness, abusive, assaultive etc.