Factors Associated with Rehospitalization Within 28 Days Among Patients with Substance Use Disorders at Makarak Hospital

Abstract

Objective: To study factors associated with rehospitalizations within 28 days among patients with substance use disorders at Makarak Hospital.

Methods: This retrospective analytic study collected data from electronic clinical records of patients with substance use disorders who were treated at Makarak Hospital and discharged during October 1, 2014 – September 30, 2017 in total number of 207 cases. Statistics used in this study were percentage and chi square test.

Results: The significant relating factors (p < .05) were history of poor compliance before this admission, type of hospitalized discharge, came to an appointment, and history of hospitalization in one year ago, however sex, age, occupation, marital status, study status, type of substance use, history of medical illness, number of days stayed in hospital, and duration of illness were not significantly related to 28-day rehospitalization among the patients with substance use disorder at Makarak Hospital.

Conclusion: From the research results, health teams should be encouraged to involve in the care of patients with substance use disorders by organizing treatment group activities, focusing on activities that promote prevention of relapse, and continuity of treatment. Providing education to patients and relatives before discharge is achieved using D-METHOD principles. Individualized treatment is provided to ensure that patients with substance use disorders receive appropriate care and support based on their individual problems. In addition to preparing families and communities prior to discharge in SMI-V patients, guidelines for prevention and management in the event of a patient escape should be developed. This includes the preparation of assessment forms and providing knowledge about warning signs of relapse to relatives or caregivers of patients with substance use disorders after discharge.