The change in disease severity and medication adherence of patients registered in community mental health center in the Covid-19 pandemic

Abstract

Aim: In this study, we aimed to investigate the changes in disease severity and medication adherence of patients who stayed away from Community Mental Health Center (CMHC) activities during the Covid-19 pandemic period although they participated more regularly in CMHC activities before the Covid-19 pandemic. Materials and Methods: 54 patients who regularly attended CMHC were included in the study retrospectively. The first interview in this study was held in January 2020, and the second interview was held in June 2021. Results: The increase in the PANSS total 2 score compared to the PANSS total 1 score, the increase in the PANSS positive 2 score compared to the PANSS positive 1 score, the increase in the YMRS 2 score compared to the YMRS 1 score, and the decrease in the MMAS 2 score compared to the MMAS 1 score were found to be significant (p<0.001, p<0.001, p=0.002, p<0.001, respectively). Those who were registered in CMHC for a longer period of time and who participated in CMHC activities for more active days in a week had higher PANSS total 2 scores, PANSS positive 2 scores, YMRS 2 scores, and lower MMAS 2 scores. Conclusion: In our study, patients who could not participate actively in CMHC due to social isolation had an increase in the severity of their disease and a decrease in their medication adherence. These results show both the negative effects of the covid-19 pandemic on patients and the importance of CMHC services for patients.

Keywords

• Covid-19
• disease severity
• medication adherence
• community mental health center

Covid-19 Pandemisinde Toplum Ruh Sağlığı Merkezine Kayıtlı Hastaların Hastalık Şiddeti ve İlaç Uyumlarında ki Değişim

Abstract

Amaç: Bu çalışmada covid-19 pandemisinden önce Toplum Ruh Sağlığı Merkezi (TRSM) faaliyetlerine daha düzenli katılım gösteren hastaların, pandemi sürecinde TRSM’den uzak kalmaları ile hastalık şiddetlerinde ki ve ilaç uyumlarında ki değişimi araştırmayı amaçladık. Gereç ve Yöntem: Elazığ TRSM’ye düzenli katılım gösteren 54 hasta retrospektif olarak çalışmaya dahil edildi. Bu çalışmada ki birinci görüşme 2020’nin ocak ayında, ikinci görüşme ise 2021’in haziran ayında yapıldı. Bulgular: PANSS toplam1 puanına göre PANSS toplam 2 puanında ki artış anlamlı bulunmuştur (p=0,000<0,05). PANSS pozitif 1 puanına göre PANSS pozitif 2 puanında ki artış anlamlı bulunmuştur (p=0,000<0,05). YMDÖ 1 puanına göre YMDÖ 2 puanında ki artış anlamlı bulunmuştur (p=0,002<0,05). MTUÖ 1 puanına göre MTUÖ 2 puanında ki düşüş anlamlı bulunmuştur (p=0,000<0,05). Daha uzun süredir TRSM’ye kayıtlı olan ve 1 haftada aktif gelinen gün sayısı daha fazla olanlarda PANSS toplam 2, PANSS pozitif 2, YMDÖ 2 puanları daha yüksek; MTUÖ 2 puanları daha düşüktü. Sonuç: Çalışmamızda sosyal izolasyon nedeniyle TRSM’ye aktif katılım gösteremeyen hastaların hem hastalık şiddetlerinde artış, hem de ilaç tedavisine uyumlarında azalma olmuştur. Bu sonuçlarımız, hem covid-19 pandemisinin hastalar üzerinde ki olumsuz etkilerini, hem de TRSM hizmetlerinin hastalar için önemini göstermektedir.

Keywords

• Covid-19
• hastalık şiddeti
• ilaç uyumu
• toplum ruh sağlığı merkezi

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