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Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study

OBJECTIVE/BACKGROUND: This longitudinal study explored factors influencing the rehospitalisation of patients with schizophrenia in Japan. METHODS: Participants comprised patients with schizophrenia who were discharged from a psychiatric hospital in Japan. The investigations were conducted at the tim...

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Autores principales: Shimada, Takeshi, Nishi, Ai, Yoshida, Tomotaka, Tanaka, Sachie, Kobayashi, Masayoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6091990/
https://www.ncbi.nlm.nih.gov/pubmed/30186062
http://dx.doi.org/10.1016/j.hkjot.2016.10.002
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author Shimada, Takeshi
Nishi, Ai
Yoshida, Tomotaka
Tanaka, Sachie
Kobayashi, Masayoshi
author_facet Shimada, Takeshi
Nishi, Ai
Yoshida, Tomotaka
Tanaka, Sachie
Kobayashi, Masayoshi
author_sort Shimada, Takeshi
collection PubMed
description OBJECTIVE/BACKGROUND: This longitudinal study explored factors influencing the rehospitalisation of patients with schizophrenia in Japan. METHODS: Participants comprised patients with schizophrenia who were discharged from a psychiatric hospital in Japan. The investigations were conducted at the time of discharge and one year later. Demographics and clinical characteristics included the following: the type of occupational therapy (OT) interventions (group and individualized or group only); the assessment scales’ scores on hospitalisation; the community living conditions after discharge; and the contents of outpatient treatment (outpatient OT, day-care treatment, home-visit nursing, and adherence to outpatient treatment and medication). All variables were examined in a binomial logistic regression analysis to identify the factors for rehospitalisation. RESULTS: The rehospitalisation rate was 31.8%, as 14 of 44 participants were rehospitalised within one year after discharge. The type of OT interventions (OR = 7.05, 95% CI = 1.36 −36.69, p = .020) and the adherence to outpatient treatment and medication (OR = 9.48, 95% CI = 1.82–49.33, p = .008) were significant contributing factors to rehospitalisation. CONCLUSION: This study provided preliminary support for the finding that individualized occupational therapy and proper adherence to outpatient treatment and medication are associated with reducing the rehospitalisation of patients with schizophrenia in Japan.
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spelling pubmed-60919902018-09-05 Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study Shimada, Takeshi Nishi, Ai Yoshida, Tomotaka Tanaka, Sachie Kobayashi, Masayoshi Hong Kong J Occup Ther Original Article OBJECTIVE/BACKGROUND: This longitudinal study explored factors influencing the rehospitalisation of patients with schizophrenia in Japan. METHODS: Participants comprised patients with schizophrenia who were discharged from a psychiatric hospital in Japan. The investigations were conducted at the time of discharge and one year later. Demographics and clinical characteristics included the following: the type of occupational therapy (OT) interventions (group and individualized or group only); the assessment scales’ scores on hospitalisation; the community living conditions after discharge; and the contents of outpatient treatment (outpatient OT, day-care treatment, home-visit nursing, and adherence to outpatient treatment and medication). All variables were examined in a binomial logistic regression analysis to identify the factors for rehospitalisation. RESULTS: The rehospitalisation rate was 31.8%, as 14 of 44 participants were rehospitalised within one year after discharge. The type of OT interventions (OR = 7.05, 95% CI = 1.36 −36.69, p = .020) and the adherence to outpatient treatment and medication (OR = 9.48, 95% CI = 1.82–49.33, p = .008) were significant contributing factors to rehospitalisation. CONCLUSION: This study provided preliminary support for the finding that individualized occupational therapy and proper adherence to outpatient treatment and medication are associated with reducing the rehospitalisation of patients with schizophrenia in Japan. SAGE Publications 2016-12-29 2016-12 /pmc/articles/PMC6091990/ /pubmed/30186062 http://dx.doi.org/10.1016/j.hkjot.2016.10.002 Text en © 2016 Hong Kong Occupational Therapy Association. Published by Elsevier (Singapore) Pte Ltd. http://www.creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://www.creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Shimada, Takeshi
Nishi, Ai
Yoshida, Tomotaka
Tanaka, Sachie
Kobayashi, Masayoshi
Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study
title Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study
title_full Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study
title_fullStr Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study
title_full_unstemmed Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study
title_short Factors Influencing Rehospitalisation of Patients with Schizophrenia in Japan: A 1-year Longitudinal Study
title_sort factors influencing rehospitalisation of patients with schizophrenia in japan: a 1-year longitudinal study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6091990/
https://www.ncbi.nlm.nih.gov/pubmed/30186062
http://dx.doi.org/10.1016/j.hkjot.2016.10.002
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