Psychiatric Social Work Consultations for Persons with Neurological disorders in a Tertiary Care Hospital during COVID-19 Lockdown: A Retrospective Observational Study.

Indian journal of psychiatric social work Pub Date : 2022-01-01 Epub Date: 2022-02-23
Chithiraivalli Kuppusamy, Muhammed Noorudin, Damadahalli Papanna Harishkumar, Krishna Jayanthi Puthanthottam Mohanan, Sinu Ezhumalai
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Abstract

Background: Worldwide, COVID-19 pandemic lockdown lead to disruptions of general health services and neurological services in particular. Hence, it is essential to report to the scientific community regarding the nature and range of psychiatric social work services provided for neurology patients during the pandemic lockdown.

Aim: To study the profile of patients availed psychiatric social work (PSW) consultation during pandemic lockdown at neurology in-patient setting.

Materials and methods: The study was retrospective in nature. Data were analysed from an in-patient referral registry. For the study purpose, neurological patients referred from April 2020 - June 2020 were considered. All patients referred for psychiatric social work consultations were included in the study. The study was carried out in tertiary care teaching hospital. Frequency and percentages were used to analyse the data.

Results: The diagnostic profile revealed Stroke (40%), Guillain-Barré syndrome (10%), meningitis (10%), autoimmune encephalitis (4%), and demyelination (4%), other chronic neurological disorders (30%). Common psychiatric social work services provided were casework with caregivers and patients regarding education about the illness, breaking the bad news, grief interventions, supportive therapy, addressing child care issues, ensuring medication compliance and follow-up services, pre-discharge counselling, assessing socio-economic condition to facilitate financial assistance towards concession in hospital charges, facilitating social welfare benefits, and tracing the family members.

Conclusion: Stroke, Guillain-Barré syndrome, neuro-infections were the most common neurological disorders required psychiatric social work consultations. Educating the patient and their family about the illness, facilitating welfare benefits and financial assistance were the most common psychiatric social work services provided during the covid-19 pandemic lockdown.

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一家三甲医院在 COVID-19 封锁期间为神经系统疾病患者提供的精神科社工咨询:回顾性观察研究。
背景:在世界范围内,COVID-19 大流行的封锁导致了一般医疗服务的中断,尤其是神经病学服务。因此,有必要向科学界报告在大流行封锁期间为神经科患者提供的精神科社工服务的性质和范围。目的:研究神经科住院病人在大流行封锁期间接受精神科社工(PSW)咨询的患者概况:研究为回顾性研究。研究数据来自住院病人转诊登记表。研究对象为 2020 年 4 月至 2020 年 6 月期间转诊的神经科患者。所有因精神科社工咨询而转诊的患者均被纳入研究范围。研究在三级医疗教学医院进行。研究采用频率和百分比对数据进行分析:诊断结果显示:中风(40%)、格林-巴利综合征(10%)、脑膜炎(10%)、自身免疫性脑炎(4%)、脱髓鞘(4%)、其他慢性神经系统疾病(30%)。所提供的常见精神科社工服务包括与护理人员和患者共同开展个案工作,内容涉及疾病教育、告知噩耗、悲伤干预、支持性治疗、解决儿童护理问题、确保遵医嘱用药和后续服务、出院前咨询、评估社会经济状况以促进住院费用优惠方面的经济援助、促进社会福利以及寻找家庭成员:结论:中风、吉兰-巴雷综合征、神经感染是最常见的需要精神科社工咨询的神经系统疾病。对病人及其家属进行疾病教育、协助提供福利和经济援助是在 19 型流感大流行封锁期间最常见的精神科社工服务。
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