Observational Study of Complexity in a Psychiatric Hospital Unit

Melynn Parcon; Iluminada Corripio Collado; Josep Marcet Bartra; María Jesús  Estebanez Elguezaba; Laura Calvo Saiz

Melynn Parcon PUCE-SD
Iluminada Corripio Collado
Josep Marcet Bartra
María Jesús Estebanez Elguezaba
Laura Calvo Saiz

Resumen

Objetivos: 1. Describir posibles variables relacionadas con un paciente complejo psiquiátrico en la Unidad Psiquiatría Aguda del Hospital Santa Creu i Sant Pau. 2. Determinar la utilidad del concepto estándar de paciente complejo crónico en paciente psiquiátrico.

Métodos: Se realizaron estudios transversales, observacionales y cuantitativos en Hospital Santa Creu i Sant Pau, Barcelona. 46 pacientes ingresados en la sala de psiquiatría aguda deSDE marzo a mayo de 2018 fueron incluidos en el estudio. Las escalas utilizadas fueron: PANSS, HDRS, YMRS, EEAG, FAST, CGI, EQ-VAS y Zarit. También se evaluó el número de estadías prolongadas en instituciones de salud, la necesidad de asistencia social, los ingresos previos y la duración de la estadía en el hospital.

Resultados: No existe diferencia en necesidad de asistencia social entre pacientes complejos crónicos (11%) y pacientes complejos no crónicos (18,9%). Además, no se observó diferencia entre las escalas FAST, CGI, EEAG, EQ-VAS y Zarit. Tras el análisis de las variables, el resultado de la calidad de vida se correlaciona con: 1. PANSS_N (p <0.0044) 2. Finanzas FAST (p <0.0027) 3. FAST cognitivo (p <0.0018).

Conclusión: La definición estándar de un paciente complejo crónico no se ajusta a las necesidades de complejidad en un paciente psiquiátrico.

DeCS: calidad de vida, multimorbilidad, cuidador, psiquiátrico

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