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RECORDED LECTURES
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Interorganizational Symposia | Original Sessions | Panel Discussions
SURVEILLANCE STUDY OF THE SHORT-TERM EFFECTS OF THAILAND'S MEDICAL CANNABIS POLICY ON PSYCHIATRIC PATIENTS. (PRELIMINARY REPORT.)
Abstract
Objectives
To evaluate short-term effects of Thailand's medical cannabis policy on psychiatric patients and bring the surveillance results to the Drugs Control Committee for reconsidering the cannabis legalization policy.
Methods
This was a sentinel surveillance study done by collecting data on the prevalence of the uses of either cannabis, medical cannabis and other cannabis products among psychotic patients who were treated in the inpatient care departments in five psychiatric hospitals in Thailand. Data were collected over a period of two months, between October 10 and December 10, 2021, and will be collected during the same months every year for three years in total. Then, after three years of surveillance, we will demonstrate trends of these prevalence changes.
Results
Based on the first year data collected, 1,271 psychotic patients were admitted to the inpatient care departments of these five psychiatric hospital. We found the prevalence of the uses of either cannabis, medical cannabis or other cannabis products in lifetime, the past year, the past 3 months, the past month, and urine THC detected were 12.04%, 10.31%, 9.68%, 7.47% and 4.96%, respectively. The prevalence of the cannabis-related products uses was highest, 30.4%, at the Nakhon Phanom Rajanakarindra Psychiatric hospital.
Conclusions
Psychiatric patients were present a high risk group who used cannabis product. Therefore, after the change in cannabis laws, legalizing cannabis from being a controlled drug, there is a need for implementing continuous surveillances of cannabis uses among psychiatric patients in order to provide information for policy making and service planning to improve mental health services.
THE EFFECT OF SUBLINGUAL ATROPINE IN SCHIZOPHRENIC PATIENTS WITH SIALORRHEA FROM TAKING CLOZAPINE IN SRITHANYA HOSPITAL
Abstract
Objectives
To study the efficacy of atropine sublingual drops in reducing salivation rate in schizophrenic patients with sialorrhea treated with clozapine in wards at Srithanya Hospital.
Methods
This research is quasi-experimental research. by comparing the rate of salivation before and after drug administration The total duration of the trial was 2 weeks, with 20 people each in the experimental. Data analyzed by Pair T-Test and Chi-square .
Results
There was no statistically significant correlation between sleep quality satisfaction and morning sleepiness on the first day, day 7 and day 14 before instillation. Mean 1.64 (ml) after the first day of instillation Average 1.53 (ml) after 7 days of instillation Average 1.63 (ml) After 14 days of instillation Average 1.62 (ml) found that the amount of saliva reduction from the first day and
After 7 and 14 days of instillation, the reduction was less than 25%. The pre and post-dose comparison of sublingual atropine showed that the average pre-instillation effect was 1.63 ± (0.81) versus the average post-first day instillation. 1.52 ±(0.81) found a statistically significant difference. comparison results average before instillation 1.63 ± (0.81) versus 1.62 ± (0.80) after 7 days of instillation, there was no statistically significant difference. comparison results There was no statistically significant difference between 1.63 ±(0.81) before instillation and 1.62 ±(0.81) after 14 days of instillation.
Conclusions
Atropine sulfate sublingual (sublingual drop) reduced salivation in sialorrhea in schizophrenia treated with clozapine, and atropine sulfate sublingual did not improve sleep quality in schizophrenic patients.
CHARACTERISTICS AND PATTERNS OF PATIENT PRESENTING TO EMERGENCY UNIT SRITANYA HOSPITAL
Abstract
Objectives
To study of the characteristics and patterns of patients presenting to emergency unit Sritanya hospital
Methods
Descriptive ,prospective cross-sectional study designed. 154 patients collected from16 August 2021 to 24 November 2021 at emergency unit of Sritanya hospital.The data collection were socio-demographic, accessing to the emergency unit, referral systemic detail, previous mental illness, leading symptoms , reasons to presenting at emergency unit, emergent stagings, waiting time ,revisiting, admission, physicians evaluation .
Results
Male more than female found. Most of them lived in Bangkok and surrounding. 64.1% of presentation symptoms were agitations or violence. 78.6% of patients had prior mental problem and treatment. 55.2% of patients were admitted. Chance of admission were patients who no prior mental problem, patients who lived outside Bangkok and surrounding and referred patients who send information before presenting at the emergency unit. No significant different of waiting time between emergent staging level. Revisit within 14 days of patients who had Sritanya appointment found more than others. By physician evaluation, 69.5% of patients and patients who no prior mental problem were more significant be psychiatric emergency.
Conclusions
agitations and violence are the most symptom of psychiatric patients. Patients who need admission were no prior mental problem, live outside Bangkok and surrounding and had information sending before presenting at emergency unit. More prevalence of psychiatric emergency found in non previous history of mental health. Improved referral system and decrease revisiting may improved emergency services.
KNOWLEDGE, STRESS, ANXIETY, AND ATTITUDES TOWARDS COVID-19 VACCINATION BETWEEN HEALTHCARE WORKERS AND CAREGIVERS OF PSYCHIATRIC PATIENTS AT SRITHANYA HOSPITAL
Abstract
Objectives
To assess knowledge, stress, anxiety, attitudes, and factors affecting the result from COVID-19 vaccination by comparing attitudes towards vaccination in health care workers and caregivers of psychiatric patients.
Methods
A descriptive cross-sectional survey during April to May 2020 was conducted in 355 of healthcare workers and 370 of psychiatric caregivers using the developed-questionnaire which was supervised by experts opinions. This questionnaire includes personal information, knowledge of COVID-19 disease and vaccines, stress and anxiety about COVID-19, attitudes towards the COVID-19 vaccine, acceptance of vaccination, and factors affecting vaccination. Results from this survey were analyzed by SPSS statistics analysis program. Chi-square analysis was conducted to test the differences of knowledge of COVID-19 disease and vaccines, and attitudes towards the COVID-19 vaccine comparing between vaccinated-personals and non-vaccinated personals. Logistic regression was used to analyzed factors affecting attitudes towards COVID-19 vaccine selection among the study groups.
Results
The results showed that knowledge, stress and anxiety about COVID-19, and the acceptance of vaccination were not significantly different. Significant factors affecting attitudes towards vaccination for COVID-19 were emotional and behavioral factors.
Conclusions
Ever since, COVID-19 was a new emerged disease, the main factors affecting attitudes in getting vaccines for COVID-19 were emotional and behavioral factors. The general information for COVID-19 is constantly changing, thus it affected mood and behavior of health care workers and caregivers of psychiatric patients. As a result, the level of knowledge, stress and anxiety are changed according to the ripples of the outbreak and the severity of the disease.