Clinical Researches
Influencing factors of long-term hospitalization in patients with schizophrenia
Hou Mingru, Li Xianwen
Published 2022-02-06
Cite as Chin J Mod Nurs, 2022, 28(4): 500-505. DOI: 10.3760/cma.j.cn115682-20210703-02910
Abstract
ObjectiveTo analyze influencing factors of long-term hospitalization (hospitalization time≥1 year) in patients with schizophrenia, so as to provide clinical evidence for the transformation of mental health services in local hospitals.
MethodsA total of 475 patients with schizophrenia who were hospitalized in Wuxi Mental Health Center Affiliated to Nanjing Medical University from 2018 to 2019 were included in the study by cluster sampling. Patients with hospitalization time greater than or equal to 1 year were included in the long-term hospitalization group and those with hospitalization time less than 1 year were included in the short-term hospitalization group. General patient information and hospitalization information were obtained from the electronic medical record system, and evaluative interviews were conducted to compare demographic and clinical characteristics of the two groups. Logistic regression model was used to analyze the influencing factors of long-term hospitalization.
ResultsThere were 251 patients in long-term hospitalization group, occupying 17.92% of the total hospital beds. The main characteristics were male (64.1%, 161/251) , single (82.1%, 206/251) , urban registered residence (76.5%, 192/251) , medical insurance payment (95.2%, 239/251) , disease course over 5 years (96.8%, 243/251) and paranoid schizophrenia (57.0%, 143/251) . Multivariate regression analysis showed that the influencing factors of long-term hospitalization for schizophrenia included the course of disease (OR=6.178, 95%CI: 2.216-17.227) , the score of Global Assessment of Function (OR=5.484, 95%CI: 3.023-9.950) , family caregivers (OR=5.044, 95%CI: 2.747-9.262) , medical payment (OR=4.029, 95%CI: 1.662-9.770) , age (OR=3.349, 95%CI: 1.962-5.714) , the score of Insight and Treatment Attitudes Questionnaire (OR=2.939, 95%CI: 1.657-5.213) and marital status (OR=2.544, 95%CI: 1.376-4.703) .
ConclusionsThe long-term hospitalization of patients with schizophrenia is affected by many factors, mainly related to the course of the disease, overall function, insight, family caregivers, medical insurance payment and demographic factors. It requires the collaboration of families, hospitals and society to improve hospital outcomes for patients with mental disorders.
Key words:
Schizophrenia; Long-term hospitalization; Multivariate analysis; Influencing factors
Contributor Information
Hou Mingru
Department of General Psychiatry, the Affiliated Wuxi Mental Health Center of Nanjing Medical University, Wuxi 214151, China
Li Xianwen
School of Nursing, Nanjing Medical University, Nanjing 211103, China
