FACTOR ASSOCIATED TO RECURRENT SYMPTOMS IN CHRONIC SCHIZOPHRENIA PATIENTS AT BAN PHAI DISTRICT, KHON KAEN PROVINCE

Abstract

The objective of this study was to investigate factors affecting schizophrenia patients with recurrent symptoms within one year of chronic schizophrenia. During January 2016 - December 2017, Ban Phai District, Khon Kaen Province performed an analytical study by retrospective cohort study. The population of recurrent chronic schizophrenic patients in the year 2016 who came to receive service at Ban Phai Hospital was a total of 79 cases. Descriptive statistics to present the mean, standard deviation, inferential statistic to present Chi-square, and Odds ratio (OR), Multiple logistic regression, Adjusted Odds ratio and 95% Confidence Interval. Data were collected by interview and in-depth interview. The results showed that income (OR = 0.25; 95% CI = 0.08–0.73) Perception of the disease (OR = 0.35; 95% CI = 0.12–0.96) Relationship between family members (OR = 0.14; 95% CI = 0.02–0.69) Income (OR = 0.26; 95% CI = 0.10-0.67) Participation in community activities (OR = 0.26; 95% CI = 0.09–0.75) and intermittent antipsychotics (OR = 0.07; 95% CI = 0.02–0.25) risk factor that causes patients with recurrent psychiatric symptoms within 1 year. Multivariate analysis has found that not continuing to take antipsychotic drugs. On the recurrence of symptoms within 1 year more than 12.5 times continuous patients (95% CI = 12.41-64.80; P-value = 0.003) and Schizophrenic patients receiving treatment for psychiatric hospitals have a risk of recurrence within less than 1 year compared to schizophrenic patients treated at primary care unit 0.08 times (95% CI = 0.01-0.60 P-value = 0.013).The health care system for treatment and receiving antipsychiatric drugs together with the continuous seamlessly between primary, secondary and tertiary care, the mental symptoms recurrent in chronic schizophrenic patients.