Table of Contents Table of Contents
Previous Page  342 / 812 Next Page
Information
Show Menu
Previous Page 342 / 812 Next Page
Page Background

S338

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

Table 1

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.751

EW634

Impact on personal growth and

environment conservation

self-perception in a volunteering

program with adults with severe

mental illness (SMI)

D. Cabezas Sánchez

1 ,

, A. Ramírez Macías

1

, J. Sáiz Galdós

1 , 2

1

Grupo 5, Centro de Día Aranjuez 2, Aranjuez, Spain

2

UCM, Social Psychology, Madrid, Spain

Corresponding author.

Introduction

“Viaje del Parnaso” is a volunteering project devel-

oped at the Day Center Aranjuez2 (CD2) for helping adults with

SMI to get a satisfactory and responsible occupation through

their implication in a volunteering work in the community, while

involved in the maintenance of a green area in the city of Aranjuez.

Objectives/aims

The aim of this study was to evaluate the impact

of the project on the volunteers’ lives in terms of personal growth

and environment conservation and compare its results with non-

volunteers also attended at the CD2.

Methods

The project was carried once a week during 45 weeks.

11 volunteers participated on the project, plus 5 non-volunteers

were considered as cuasi-control group. The instruments applied

were an item on “environment conservation” and 2 subscale items

of “Personal Growth” from the Ryff Scales of psychological well-

being. Measures were applied at baseline, 6 and 12 months after.

Results

Significant differences were found on the environment

conservation item between volunteers at baseline and 6 months

after (

P

< 0.05). Results also revealed a significant difference

(

P

< 0.05) between volunteers and non-volunteers at both variables

(“environment conservation” and “Personal Growth”) in baseline

and 6 months after treatment.

Conclusions

The data from this study suggest that a volunteer-

ing program seems to be an effective intervention for bringing

about improvements in well-being of people with SMI, and also for

increasing their environmental awareness. These improvements

may also help to change the stigma of SMI reinforcingmental health

patient’s contributions to society.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.752

EW635

Cardiovascular risk assessment in

psychiatric inpatient setting

E. Dahmer

1 , 2 , 3 ,

, N.C. Lokunarangoda

4 , 5 , 6

, K. Romain

7 , 8

,

M. Kumar

9

1

Health Education West Midlands, The Shrewsbury and Telford

Hospital NHS Trust, Telford, United Kingdom

2

South Staffordshire and Shropshire Healthcare, Former F1 Dr in

General acute inpatient Psychiatry-St George’s Hospital, Stafford,

United Kingdom

3

Health Education West Midlands, Former FY1-University Hospitals

of North Midlands, Stafford, United Kingdom

4

The Shrewsbury and Telford Hospital NHS Trust, Cardiology, Telford

and Shrewsbury, United Kingdom

5

Teaching Hospital Anuradhapura, Former Acting

Cardiologist-University Medical Unit, Anuradhapura, Sri Lanka

6

Rajarata university of Sri Lanka, Senior Lecturer in Medicine,

Mihintale, Sri Lanka

7

Health Education West Midlands, University Hospitals of North

Midlands, Stafford-Stoke, United Kingdom

8

South Staffordshire and Shropshire Healthcare, F1 Dr in General

acute inpatient Psychiatry-St George’s Hospital, Stafford, United

Kingdom

9

South Staffordshire and Shropshire Healthcare, Consultant

Psychiatrist- General acute inpatient Psychiatry-St George’s Hospital,

Stafford, United Kingdom

Corresponding author.

Objectives

To assess the general cardiac health of inpatients in

acute psychiatric units and to evaluate the practice of ECG use in

this setting.

Aims

Overall cardiac risk is assessed using QRISK2. Clinically

significant ECG abnormality detection by psychiatric teams are

compared with same by cardiologist.

Methods

Ten percent of patients (

n

= 113) admitted to five acute

psychiatric wards during a period of 13 months across three hos-

pital sites, covering a population of 1.1 million, were randomly

selected. Electronic health care records were used to collect all data,

in the form of typed entries and scanned notes. An experienced

cardiologist, blind to the psychiatrist assessments, performed ECG

analysis. TheQRISK2 online calculatorwas used to calculate 10-year

cardiovascular risk as recommended by NIHR, UK.

Results

A score of 10% or more indicates a need for further inter-

vention to lower risk.13.5% of patients had a QRISK2 score of

10–20%, 5.2% had a score of 20–30%, and 1 patient had a QRISK2

score > 30%. In total, 19.7% had a QRISK2 of 10% or greater. A total

of 2.9% had prolonged QTC interval (> 440ms), with 2.9% having a

borderline QTC (421–440). A total of 34.3% of ECGs were identified

by the ward doctors as abnormal, with action being taken on 41.6%

of these abnormal ECGs. Cardiologist analysis identified 57.1% of

ECGs with abnormalities of potential clinical significance.

Conclusions

One in five patients admitted to psychiatry wards

have poor cardiac health requiring interventions. Though QTC

interval prolongation is rare, half of patients may have abnormal

ECGs that require further analysis.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.753

EW636

The agitated patient; need for

mechanical restraint and prevention

measures in relation to psychiatric

diagnosis

F. Dinamarca

, L. G

alindo , M. Grifell , E. Perez , V. Chavarria ,

P. Salgado , S. Perez