Autonomy of long-stay psychiatric inpatients
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Redalyc
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| Natura: | Artículo científico |
| Lingua: | en |
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Universidade de São Paulo
2006
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| _version_ | 1876454198434856960 |
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| author | Luciane Carniel Wagner |
| author_facet | Luciane Carniel Wagner |
| contents | Autonomy of long-stay psychiatric inpatients Luciane Carniel Wagner Marcelo Pio de Almeida Fleck Mário Wagner Míriam Thaís Guterres Dias Salud classification Questionnaires Length of stay Mental disorders Personal autonomy OBJECTIVE: To assess personal autonomy of long-stay psychiatric inpatients, to identify those patients who could be discharged and to evaluate the impact of sociodemographic variables, social functioning, and physical disabilities on their autonomy was also assessed. METHODS: A total of 584 long-stay individuals of a psychiatric hospital (96% of the hospital population) in Southern Brazil was assessed between July and August 2002. The following instruments, adapted to the Brazilian reality, were used: independent living skills survey, social behavioral schedule, and questionnaire for assessing physical disability. RESULTS: Patients showed severe impairment of their personal autonomy, especially concerning money management, work-related skills and leisure, food preparation, and use of transportation. Autonomy deterioration was associated with length of stay (OR=1.02), greater physical disability (OR=1.54; p=0.01), and male gender (OR=3.11; p<0.001). The risk estimate of autonomy deterioration was 23 times greater among those individuals with severe impairment of social functioning (95% CI: 10.67-49.24). CONCLUSIONS: In-patients studied showed serious impairment of autonomy. While planning these patients’ discharge their deficits should be taken into consideration. Assessment of patients’ ability to function and to be autonomous helps in identifying their needs for care and to evaluate their actual possibilities of social reinsertion. 2006 artículo científico 0034-8910 https://www.redalyc.org/articulo.oa?id=67240154021 en http://www.redalyc.org/revista.oa?id=672 Revista de Saúde Pública application/pdf Universidade de São Paulo Revista de Saúde Pública (Brasil) Num.4 Vol.40 |
| format | Artículo científico |
| id | redalyc_67240154021 |
| institution | Redalyc |
| language | en |
| publishDate | 2006 |
| publisher | Universidade de São Paulo |
| spellingShingle | Autonomy of long-stay psychiatric inpatients Luciane Carniel Wagner Salud classification Questionnaires Length of stay Mental disorders Personal autonomy Autonomy of long-stay psychiatric inpatients Luciane Carniel Wagner Marcelo Pio de Almeida Fleck Mário Wagner Míriam Thaís Guterres Dias Salud classification Questionnaires Length of stay Mental disorders Personal autonomy OBJECTIVE: To assess personal autonomy of long-stay psychiatric inpatients, to identify those patients who could be discharged and to evaluate the impact of sociodemographic variables, social functioning, and physical disabilities on their autonomy was also assessed. METHODS: A total of 584 long-stay individuals of a psychiatric hospital (96% of the hospital population) in Southern Brazil was assessed between July and August 2002. The following instruments, adapted to the Brazilian reality, were used: independent living skills survey, social behavioral schedule, and questionnaire for assessing physical disability. RESULTS: Patients showed severe impairment of their personal autonomy, especially concerning money management, work-related skills and leisure, food preparation, and use of transportation. Autonomy deterioration was associated with length of stay (OR=1.02), greater physical disability (OR=1.54; p=0.01), and male gender (OR=3.11; p<0.001). The risk estimate of autonomy deterioration was 23 times greater among those individuals with severe impairment of social functioning (95% CI: 10.67-49.24). CONCLUSIONS: In-patients studied showed serious impairment of autonomy. While planning these patients’ discharge their deficits should be taken into consideration. Assessment of patients’ ability to function and to be autonomous helps in identifying their needs for care and to evaluate their actual possibilities of social reinsertion. 2006 artículo científico 0034-8910 https://www.redalyc.org/articulo.oa?id=67240154021 en http://www.redalyc.org/revista.oa?id=672 Revista de Saúde Pública application/pdf Universidade de São Paulo Revista de Saúde Pública (Brasil) Num.4 Vol.40 |
| title | Autonomy of long-stay psychiatric inpatients |
| topic | Salud classification Questionnaires Length of stay Mental disorders Personal autonomy |
| url | https://www.redalyc.org/articulo.oa?id=67240154021 |