Korean Journal of Schizophrenia Research (대한조현병학회지)

Korean Society for Schizophrenia Research (대한조현병학회)
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Differences in Social and Clinical Characteristics between Readmission and Dehospitalization in Long-Term Inpatients with Schizophrenia

장기 재원 조현병 환자에서 재입원 혹은 탈원에 따른 사회적 및 임상적 특징 차이

  • Kim, Min-Sun (Public Health Medical Team, Seoul Medical Center) ;
  • Park, Sunyoung (Department of Psychiatry, National Health Insurance Service Ilsan Hospital) ;
  • Choi, Jin-sook (Department of Psychiatry, Seoul Medical Center)
  • 김민선 (서울특별시 서울의료원 공공의료팀) ;
  • 박선영 (국민건강보험공단 일산병원 정신건강의학과) ;
  • 최진숙 (서울특별시 서울의료원 정신건강의학과)
  • Received : 2020.02.04
  • Accepted : 2020.04.09
  • Published : 2020.04.30
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Abstract

Objectives: Dehospitalization of long-term inpatients with schizophrenia can be difficult because of complex factors such as chronic symptoms and low family and social support. The aim of this study was to identify factors related to dehospitalization and readmission of long-term inpatients with schizophrenia. Methods: This retrospective study reviewed the medical records of patients discharged from a psychiatric hospital in Yongin, South Korea, from February 1, 2016, to July 31, 2017. Patients who were hospitalized for over 3 months were divided into two groups: readmission (n=47) and dehospitalization (n=55). Differences in sociodemographic and clinical factors were analyzed between the two groups. Results: Regarding sociodemographic characteristics, female sex, familylessness, discharge to nursing homes, and discharge after symptom improvement were more prevalent in the dehospitalization group, whereas male sex, having a sibling as next of kin, and discharge because of other problems were more prevalent in the readmission group. Among clinical characteristics, hospital stay was longer in the readmission group. Conclusion: In this study, patients without a family showed a tendency to not be readmitted when they were discharged to nursing homes after symptom improvement. Expansion of social welfare support may encourage dehospitalization of long-term inpatients with schizophrenia.

Keywords

References

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