Prácticas religiosas asociadas a descompensación psquiátrica en pacientes esquizofrénicos paranoides
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2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Antecedentes: La esquizofrenia paranoide es una enfermedad mental que afecta
gravemente a quien la padece. La descompensación psiquiátrica puede darse producto de ciertas
prácticas religiosas ligadas a creencias individuales. Objetivo general: Analizar la influencia
de prácticas religiosas en descompensación psiquiátrica de pacientes diagnosticados con
esquizofrenia paranoide. Materiales y métodos: Estudio correlacional descriptivo no
experimental transversal. Se usa metodología cuantitativa, y un análisis a partir de la forma
clínica, utilizando como instrumentos la Historia Clínica en 96 pacientes que cumplen con el
criterio de inclusión y antecedentes de prácticas religiosas. Se utiliza el programa SPSS versión
15 con el estadístico X2. Resultados: La edad promedio fue 39 años,54% son varones; Las
prácticas fueron la lectura (20%), vigilia (39%), asistencia a feligreses (16%) y ayunos (3%);
las manifestaciones psicopatológicas más prevalentes fueron de los delirios místicos (58%) y
de referencia (50%), además, aplicando el estadístico chi cuadrado con de 0,05, se obtuvo
que: X2 = 3,84 < 2,42 y un ODD Ratio de 0,6137, evidenciándose que 3 de cada 4 pacientes
puedan desarrollar delirios místicos y que 2 de cada 3 pacientes delirios de referencia, por ello,
se aceptó la hipótesis alternativa (H1), influyendo las prácticas religiosas en la descompensación
psiquiátrica relacionada con delirios místicos y de referencia en pacientes con esquizofrenia
paranoide; Se identificó que las dos terceras partes (65%) que incumplen este régimen, realizan
prácticas religiosas. Conclusión: las prácticas religiosas influyen en la descompensación
psiquiátrica relacionada con delirios místicos y de referencia en pacientes diagnosticados con
esquizofrenia paranoide.
Background: Paranoid schizophrenia is a mental illness that severely affects the sufferer. Psychiatric decompensation can occur as a result of certain religious practices linked to individual beliefs. Course objective: To analyze the influence of religious practices in psychiatric decompensation of patients diagnosed with paranoid schizophrenia. Materials and methods: Cross-sectional non-experimental descriptive correlational study. Quantitative methodologies are used, and an analysis based on the clinical form, using the Clinical History as instruments in 96 patients that meet the inclusion criteria and background of religious practices. The SPSS version 15 program is used with the X2 statistic. Results: The average age was 39, 54% are male; The practices were reading (20%), vigil (39%), assistance to parishioners (16%) and fasting (3%); the most prevalent psychopathological manifestations were of mystic delusions (58%) and reference (50%), in addition, applying the chi-square statistic with of 0.05, it was obtained that: X2 = 3.84 <2.42 and An ODD Ratio of 0.6137, evidencing that 3 out of 4 patients can develop mystical delusions and that 2 out of 3 patients referral delusions, therefore, the alternative hypothesis (H1) was accepted, influencing religious practices in psychiatric decompensation related to mystic delusions and reference in patients with paranoid schizophrenia; It was identified that two thirds (65%) who fail to comply with this regime, perform religious practices. Conclusion: religious practices influence psychiatric decompensation related to mystic delusions and reference in patients diagnosed with paranoid schizophrenia
Background: Paranoid schizophrenia is a mental illness that severely affects the sufferer. Psychiatric decompensation can occur as a result of certain religious practices linked to individual beliefs. Course objective: To analyze the influence of religious practices in psychiatric decompensation of patients diagnosed with paranoid schizophrenia. Materials and methods: Cross-sectional non-experimental descriptive correlational study. Quantitative methodologies are used, and an analysis based on the clinical form, using the Clinical History as instruments in 96 patients that meet the inclusion criteria and background of religious practices. The SPSS version 15 program is used with the X2 statistic. Results: The average age was 39, 54% are male; The practices were reading (20%), vigil (39%), assistance to parishioners (16%) and fasting (3%); the most prevalent psychopathological manifestations were of mystic delusions (58%) and reference (50%), in addition, applying the chi-square statistic with of 0.05, it was obtained that: X2 = 3.84 <2.42 and An ODD Ratio of 0.6137, evidencing that 3 out of 4 patients can develop mystical delusions and that 2 out of 3 patients referral delusions, therefore, the alternative hypothesis (H1) was accepted, influencing religious practices in psychiatric decompensation related to mystic delusions and reference in patients with paranoid schizophrenia; It was identified that two thirds (65%) who fail to comply with this regime, perform religious practices. Conclusion: religious practices influence psychiatric decompensation related to mystic delusions and reference in patients diagnosed with paranoid schizophrenia
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Prácticas religiosas, Descompensación psiquiátrica, Esquizofrenia paranoide, Trastornos mentales, Epidemiología descriptiva, Instituto de Neurociencias, Cantón Guayaquil, Ecuador