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

Keywords: calidad de vida, multimorbilidad, cuidador, psiquiátrico

Abstract

ABSTRACT

Objectives: 1. Describe the possible variables that may be related to a psychiatric complex patient at the Acute Psychiatric Unit of Santa Creu i Sant Pau Hospital. 2. Determine the usefulness of the standard concept of chronic complex patient in a psychiatric patient.

Methods: Cross sectional, observational, and quantitative study were conducted in Hospital Santa Creu i Sant Pau, Barcelona. 46 patients admitted at the Acute Psychiatric Ward from March to May 2018 were included in the study. The scales used were: PANSS, HDRS, YMRS, EEAG, FAST, CGI, EQ-VAS and Zarit Burden. The number of extended stays in health institutions, need for social assistance, previous admissions and duration of hospital stay were also evaluated.

Results: There is no difference in the need for social assistance between chronic complex patient (11%) and non-chronic complex patient (18.9%). Also, no difference was noted among the scales FAST, CGI, EEAG, EQ-VAS and Zarit Burden. Upon analysis of the variables, the result of the quality of life is correlated with: 1. PANSS_N (p<0.0044) 2. FAST finances (p<0.0027) 3. FAST cognitive (p<0.0018).

Conclusion: The standard definition of a Chronic Complex Patient does not fit the needs of complexity in a psychiatric patient.

DeCS: quality of life, multimorbidity, caregiver, psychiatric

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