정신과 보호병동에서 거역퇴원 환자의 특성과 예후

Abstract

Objects : The purpose of this study is to evaluate the sociocultural and clinical factors affecting psychiatric patients discharge against medical advice(AMA). Methods : Inpatients(n=71) who have been discharged AMA from psychiatric closed ward at Chosun University Hospital from January 1, 2004 to December 31, 2006. were the subjects of this study. Inpatients(n=276) discharged by medical advice during the same period were compared as the control group. Based on a retrospective 3-year medical record review, this study characterizes factors associated with patients discharged AMA from a psychiatric closed ward. Results : There were significant difference between two groups in age, marrital status, diagnosis, duration of hospitalization, place of residence, suicidal idea, outcome of treatment. Conclusion : These results suggests that therapists should try to establish the therapeutic relationships with the patients and their family and explain about the disease process, treatment goal, importance of social rehabilitation, their participation in therapeutic process to prevent AMA discharge.