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Involuntary hospitalizations at the Psychiatric Clinic of the Clinical Hospital Centre Osijek
Ivan-Filip Maček (2018)
Josip Juraj Strossmayer University of Osijek
Faculty of Medicine
Metadata
TitlePrisilne hospitalizacije na Klinici za psihijatriju Kliničkog bolničkog centra Osijek
AuthorIvan-Filip Maček
Mentor(s)Ivan Požgain (thesis advisor)
Abstract
Ciljevi istraživanja: Utvrditi broj prisilnih hospitalizacija na Klinici za psihijatriju KBC-a Osijek u razdoblju od 2015. do kraja 2017. te vodeću dijagnozu i postojanje drugih psihijatrijskih poremećaja kod pacijenta. Ispitati način dolaska pacijenata – dolazi li sa ulice ili iz vlastitog doma te dolazi li u pratnji policije, vozila hitne pomoći ili člana obitelji. Utvrditi postoji li prijašnje psihijatrijsko liječenje kod pacijenata ili pozitivna psihijatrijska obiteljska anamneza. Ispitati jesu li korištene mjere prisile prema pacijentima, uključujući fizičku prisilu, sputavanje i sedaciju lijekovima. Utvrditi trajanje te ishod prisilne hospitalizacije. Ustroj studije: Presječno istraživanje s povijesnim podatcima. Ispitanici i metode: Istraživanje je provedeno na Klinici za psihijatriju KBC-a Osijek. Promatrano je razdoblje od 2015. do kraja 2017. godine. Podatci o ispitanicima prikupljeni su iz otpusnih pisama arhive prisilno hospitaliziranih pacijenata. Ispitanici uključeni u istraživanje su osobe nad kojima je proveden postupak prisilne hospitalizacije. Sveukupan broj ispitanika uključenih u studiju je 26. Rezultati: Medijan dobi prisilno hospitaliziranih pacijenata jest 47 godina. Najveći broj prisilno hospitaliziranih pacijenata dolazi s dijagnozom iz spektra shizofrenije, shizofreniji sličnih poremećaja i sumanutih stanja. Medijan trajanja prisilnih hospitalizacija jest 9 dana, u rasponu od jednog do trideset dana. Promatranjem ostalih varijabli nije utvrđena statistički značajna razlika. Zaključak: Ovim istraživanjem postavljen je temelj za daljnje praćenje prisilnih hospitalizacija na Klinici za psihijatriju KBC-a Osijek. Za bolje razumijevanje čimbenika koji određuju prisilne hospitalizacije, potrebno je praćenje kroz širi vremenski raspon na većem broju ispitanika i u većem broju psihijatrijskih ustanova na nacionalnoj razini.
KeywordsInvoluntary hospitalization involuntary admission mental disorders coercive measures.
Parallel title (English)Involuntary hospitalizations at the Psychiatric Clinic of the Clinical Hospital Centre Osijek
Committee MembersDunja Degmečić (committee chairperson)
Vesna Ilakovac (committee member)
Ivan Požgain (committee member)
GranterJosip Juraj Strossmayer University of Osijek
Faculty of Medicine
PlaceOsijek
StateCroatia
Scientific field, discipline, subdisciplineBIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Psychiatry
Study programme typeuniversity
Study levelintegrated undergraduate and graduate
Study programmeUniversity Graduate Studies
Academic title abbreviationdr. med.
Genremaster's thesis
Language Croatian
Defense date2018-11-28
Parallel abstract (English)
OBJECTIVES. To determine the number of involuntary hospitalizations at the Psychiatric Clinic of the Clinical Hospital Centre Osijek in the period from 2015 to 2017 with main diagnosis along with the existence of other psychiatric disorders. To examine the means of the patients’ arrival: whether they come from the street or home; whether they are transported by an ambulance or accompanied by police or a family member. To determine the existence of prior psychiatric treatment or positive family history. To examine whether coercive measures were used towards the patient, including physical force, forced medication and restraint. To determine the duration and outcome of involuntary hospitalizations. STUDY DESIGN. A cross–sectional study with historical data. PARTICIPANTS AND METHODS. The research has been conducted at the Psychiatric Clinic of the Clinical Hospital Centre Osijek. The examined period was from 2015 to 2017. Patient data was obtained from the discharge summaries. The study included all the involuntary hospitalized patients: the total number of patients included was 26. RESULTS. The median age of the involuntarily hospitalized patients is 47 years. Most of the admitted patients were diagnosed with schizophrenia spectrum disorders. The median value of involuntary hospitalization duration is 9 days, ranging from 1 to 30 days. No significant statistical differences in other observed factors were found. CONCLUSION. This study has aimed to lay the foundations for future observation of involuntary hospitalizations at the Psychiatric Clinic of the Clinical Hospital Centre Osijek. For better understanding of the deciding factors that influence involuntary hospitalizations, a longer period of research on a larger sample and in a number of other psychiatric institutions on a national level is needed.
Parallel keywords (Croatian)prisilna hospitalizacija prisilni smještaj duševne bolesti mjere prisile.
Resource typetext
Access conditionOpen access
Terms of usehttp://rightsstatements.org/vocab/InC/1.0/
URN:NBNhttps://urn.nsk.hr/urn:nbn:hr:152:562085