2.50
Hdl Handle:
http://hdl.handle.net/10755/163406
Category:
Abstract
Type:
Presentation
Title:
Medical Comorbidities of Patients Admitted to an Acute Care Psychiatric Hospital
Author(s):
Dakin, Cynthia L.
Author Details:
Cynthia L. Dakin, PhD, RN, Assistant Professor, Northeastern University Nursing, Boston, Massachusetts, USA, email: c.dakin@neu.edu
Abstract:
Purpose: The purpose of this study was to identify the medical comorbidities of patients admitted to an acute care psychiatric hospital. Recent studies have indicated the need for additional research to identify comorbidities of patients with a psychiatric diagnosis as well as preventative and maintenance health care and teaching for this population. Theoretical Framework: The framework used in this study was Peplau's Interpersonal Relations in Nursing: Psychodynamic Nursing. Methods (Design, Sample, Setting, Measures, Analysis): This was a descriptive study. A retrospective chart review was conducted using random sampling (n=1097)of patients admitted to an acute care psychiatric hospital over 10 months to identify medical comorbidities. The setting was an acute care suburban teaching psychiatric hospital in Massachusetts. A chart review form was used to collect admission date; unit; admitting diagnoses; gender; age; tobacco use, type, frequency/amount; and medical comorbidities. Descriptive statistics were calculated. Results: Sample characteristics show a range of age 18 to 93 years; gender 41% male and 59% female; and 43% used tobacco. The most frequent admitting DSM IV diagnoses were major depressive disorder 30%, bipolar disorder 21%, substance intoxication, dependence or abuse 15%, schizophrenia 13%, psychotic disorder 4%, dementia 3%. The most frequently occurring medical comorbidities were hypertension 22.2%, gastroesophageal reflux disease (GERD) 13.7%, asthma 10.5%, chronic pain 10.4%, hypothyroidism 8.4%, chronic headaches/migraines 8.2%, and diabetes mellitus II (NIDDM) 6.9%. Greater than 70% of the sample reported one or more medical comorbidities. Conclusions and Implications: Most research regarding medical comorbidities of psychiatric patients has been directed at identifying comorbidities of selected psychiatric disorders. This is one of the few nurse conducted studies that reviewed all psychiatric diagnoses of a group of patients admitted to an acute care psychiatric hospital. The medical comorbidities identified in this study have been supported by findings of previous research. This pilot data will be used to develop teaching strategies that encourage health promotion activities in psychiatric patients.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMedical Comorbidities of Patients Admitted to an Acute Care Psychiatric Hospitalen_GB
dc.contributor.authorDakin, Cynthia L.en_US
dc.author.detailsCynthia L. Dakin, PhD, RN, Assistant Professor, Northeastern University Nursing, Boston, Massachusetts, USA, email: c.dakin@neu.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163406-
dc.description.abstractPurpose: The purpose of this study was to identify the medical comorbidities of patients admitted to an acute care psychiatric hospital. Recent studies have indicated the need for additional research to identify comorbidities of patients with a psychiatric diagnosis as well as preventative and maintenance health care and teaching for this population. Theoretical Framework: The framework used in this study was Peplau's Interpersonal Relations in Nursing: Psychodynamic Nursing. Methods (Design, Sample, Setting, Measures, Analysis): This was a descriptive study. A retrospective chart review was conducted using random sampling (n=1097)of patients admitted to an acute care psychiatric hospital over 10 months to identify medical comorbidities. The setting was an acute care suburban teaching psychiatric hospital in Massachusetts. A chart review form was used to collect admission date; unit; admitting diagnoses; gender; age; tobacco use, type, frequency/amount; and medical comorbidities. Descriptive statistics were calculated. Results: Sample characteristics show a range of age 18 to 93 years; gender 41% male and 59% female; and 43% used tobacco. The most frequent admitting DSM IV diagnoses were major depressive disorder 30%, bipolar disorder 21%, substance intoxication, dependence or abuse 15%, schizophrenia 13%, psychotic disorder 4%, dementia 3%. The most frequently occurring medical comorbidities were hypertension 22.2%, gastroesophageal reflux disease (GERD) 13.7%, asthma 10.5%, chronic pain 10.4%, hypothyroidism 8.4%, chronic headaches/migraines 8.2%, and diabetes mellitus II (NIDDM) 6.9%. Greater than 70% of the sample reported one or more medical comorbidities. Conclusions and Implications: Most research regarding medical comorbidities of psychiatric patients has been directed at identifying comorbidities of selected psychiatric disorders. This is one of the few nurse conducted studies that reviewed all psychiatric diagnoses of a group of patients admitted to an acute care psychiatric hospital. The medical comorbidities identified in this study have been supported by findings of previous research. This pilot data will be used to develop teaching strategies that encourage health promotion activities in psychiatric patients.en_GB
dc.date.available2011-10-27T11:07:01Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:01Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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