dc.contributor.author | Mwove, Paul M | |
dc.date.accessioned | 2020-02-21T11:34:43Z | |
dc.date.available | 2020-02-21T11:34:43Z | |
dc.date.issued | 2019 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke/handle/11295/108203 | |
dc.description.abstract | Studies show that relapse or uncontrolled return to drugs among patients diagnosed with
substance related disorders following competent treatment has been on the rise. This has
remained a major challenge to substance abusers and their counselors. The objective of this
research aimed at identifying the social, psychological and biological determinants that promote
and, or prevent relapse among substance abuse patients at Mathari National Teaching and
Referral Hospital, Kenya. This study is a descriptive cross-sectional study design targeting care
givers or guardians of patients seeking both outpatient and inpatients services for relapse due to
substance abuse at Mathari Referral and National Hospital. Quantitative research approach was
used to identify the causes of relapse among patients diagnosed with substance related disorders.
In order to minimize bias during selection of respondents, multistage sampling was adopted.
Pre-testing of the study tools was done in the Outpatient department, MNTRH. The responses
were coded for analysis and put on an excel sheet. Data collected was then analyzed by statistical
software (SPSS version 25). Both regression and chi-square were used to show association and
comparisons between the variables respectively. Descriptive statistics were presented by use of
the mean, percentages and standard deviation. Chi-square was used determine statistical
significance of the differences in proportions and logistic regression used to identify the
association between the variables The findings showed that, majority, 72.6 %( n=82) of the
patients on substance abuse were between age 20 and 39 years with most 69.9% (n=79) of them
from Nairobi county. Determinants of relapse among substance abuse patients were: the
accessibility of specific drug(s) of addiction that patient was taking (p<0.011), Age of the patient
in years (p<0.003), frequent conflicts within the family (p<0.014), and having financial or
unemployment problems (p<0.010). All these could predict the likelihood of relapse among
patients at the Mathari National Referral Hospital. Study concluded that Biological factors have a
major role in determining relapse among patients with relapse in substance abuse in MNTRH
compared to social and psychological factors. There is need for reduced access to drugs of
addiction by instituting and implementing appropriate legislation by both National and County
governments in Kenya. All leaders should come together to address the rising unemployment
problem among the youth. | en_US |
dc.language.iso | en | en_US |
dc.publisher | University of Nairobi | en_US |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
dc.subject | Biopsychosocial Determinants of Relapse | en_US |
dc.title | Biopsychosocial Determinants of Relapse Among Patients Diagnosed With Substance Related Disorders at Mathari National Teaching and Referral Hospital, Kenya | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
dc.contributor.supervisor | Mageto, Irene G | |
dc.contributor.supervisor | Mwaura, James | |