Year : 2017 | Volume
: 59 | Issue : 6 | Page : 153-
Prof. M. Murugappan Poster Session 2 Award
|How to cite this article:|
. Prof. M. Murugappan Poster Session 2 Award.Indian J Psychiatry 2017;59:153-153
|How to cite this URL:|
. Prof. M. Murugappan Poster Session 2 Award. Indian J Psychiatry [serial online] 2017 [cited 2020 Jul 9 ];59:153-153
Available from: http://www.indianjpsychiatry.org/text.asp?2017/59/6/153/197011
Study of effect of psychoeducation on knowledge, attitude and practice of primary caregivers of substance use disorder patients
Dr. Swapnil G. Karwande
B.Y.L. Nair Hospital, Mumbai
Introduction: Substance use disorder is a major public health problem. However little is know about role of psycho education in substance use disorders. It is seen that lack of caregiver's knowledge is associated with more relapses. Hence there is need for psycho education to prevent relapse.
Aims and objectives: To study effect of psycho education of knowledge, attitude and practice of primary caregivers of substance use disorder patients longitudinally and also on relapse in patients.
Methodology: 100 consecutive primary caregivers, fulfilling inclusion criteria, were taken as cases. A session of psycho education was conducted in groups of 5 caregivers at a time. The psycho education module included - information about nature, course of illness, causative factors, factors affecting illness, symptoms of intoxication and withdrawal, medical psychological and legal complications, investigations required and modes of management, do and don'ts to follow at home.
Cases were interviewed by investigators for collecting socio demographic data and a knowledge, attitude and practice questionnaire was administered before psycho education module session, then after 1 month and after 3 months.
Comparison between Quantitative data was done using t-test. For comparison of qualitative variables, chi square test is used. For both tests, p-value less than 0.05 is considered significant.
Results: Mean scores of knowledge, attitude and practice before psycho education were 24.9 (SD = 2.887), 54.25 (SD = 8.971), 34.56 (SD = 5.279) and after 3 months were 20.52 (SD=2.118), 41.29 (SD=6.325), 23.9 (SD=2.978) respectively. Lower scores suggesting improvement.
After psycho education, there is significant improvement in knowledge, attitude and practice of primary caregivers of substance use disorder patients. No significant relationship was found with socio demographic data of patient and care givers.
Discussion: Caregiver's knowledge, attitude and practice can be improved if psycho education is provided in simple language. Hence progression from abstinence to relapse can be prevented.
Conclusion: Psycho education, improves knowledge, attitude and practice of primary caregiver's of substance use disorder patients.
Keywords: Psycho education, Substance use disorder, Primary Caregiver's
Clinical Profile of extrapyramidal syndromes in patients receiving antipsychotics in a tertiary care hospital
Senior Resident, National Institute Of Mental Health And Neuroscience, Bangalore. Email Id :Soumitratdmc@gmail.com
Clinical profile of extrapyramidal syndromes in patients receiving antipsychotics in a tertiary care hospital abstract: background: adverse drug reaction (adr) is defined as any harmful or undesired response to a medication, occurring at doses used for prophylaxis, diagnosis, and treatment in human according to the world health organization (who). Adrs are important cause of morbidity, hospitalization, increased health expenditure and even death. It constitutes a major clinical problem in terms of human suffering and increased healthcare expenditure. Since psychiatric disorders requires therapy with multiple drugs for prolonged periods, drug-related adverse effects and other coexisting ailments often add on to the existing morbidity18. Although, such adverse reactions are common, comprehensive information about their incidence, severity, and ultimate health effects is not available. Certain ethnic and genetic variations also play an important role in determining the adverse reactions caused by antipsychotic drugs. Therefore this study was untertaken with a motive to monitor and determine the clinical pattern, causality, severity and preventability of exrapyramidal side effects of both typical and atypical antipsychotics. Objective: to monitor the pattern of occurrence of extrapyramidal syndromes (eps) inpatients receiving typical and atypical antipsychotic drugs. Materials and methods prospective observational study. Duration: 1 year outpatients and inpatients of either sex , above 18 yrs of age with clinical diagnosis of extrapyramidal syndrome who received antipsychotic drugs for any duration were included in the study. Patients who were taking other non psychotropic drugs which were known to cause extrapyramidal syndromes and who did not give consent were excluded from the study. Ethical clearance was obtained from the institutional research committee and institutional human ethics committee prior to the study. The data was sorted, coded and entered into statistical package for the social science for windows (spss) version 17 and subsequently analyzed. Descriptive statistics was used for data analysis observations