Prevalence and factors related to patients' abscond in ۲۲ Bahman Hospital in Qazvin from ۲۰۱۱ to ۲۰۲۰

Patient escape from the hospital is an important issue with economic, social and health costs that is animportant health and safety concern. In addition to the unfortunate consequences for the patient and hisfamily, escape increases the responsibility and workload of hospital staff and hospital management toreturn the patient to the hospital .AimThis study aims to identify the prevalence and factors related to patients' abscond in ۲۲ BahmanHospital in Qazvin from ۲۰۱۱ to ۲۰۲۰.MethodsThe present study is a descriptive epidemiological study in۲۲ Bahman Hospital in Qazvin. Patients'files were reviewed over a time ten-year period from ۲۰۱۱ to ۲۰۲۰. Data collection tools included aquestionnaire of demographic information such as patient's characteristics. Data were analyzed usingSPSS software version ۲۲.ResultsThe research sample consisted of ۱۴,۴۴۶ files reviewed by the researcher, and ۲۰۴ files related topatient escape were extracted. The escape rate of patients with mental disorders in ten years in QazvinHospital was ۱.۶۱%, an average upward rate. According to the results, the incidence of patients' escapehad decreased from ۳.۹۱% in ۲۰۱۱ to ۰.۸۶% in ۲۰۲۰. The highest escape rate was observed in men(۸۳.۸۲%), single (۴۱.۶۷%) and with undergraduate education (۵۰.۹۸%). Also, people with a history ofdrug use and more extended hospital stays had higher escape rates (۷۲.۵۵%) .The highest escape rate isin summer with an incidence of ۱۹.۸۷%, and the lowest rate is in winter with a prevalence of ۱۰.۱۸%.Conclusion The possibility of patient escape is considered a nursing diagnosis for all patients with mental disorders, and appropriate preventive measures should be implemented. The necessary interventions by the healthcare team (psychiatrists, psychologists, psychiatrists, paramedics, and occupational therapists) can reduce patients' motivation to escape by reducing their psychological, social, and communication problems. Therefore, it is necessary for health workers and health care providers to pay more particular attention to patients by identifying them at risk of escape and reducing the rate of escape by providing a high-security environment.

Keywords:

Abscond , mental patient , hospital , psychiatry , mental health nursing