지역사회 거주 조현병 범주 장애 환자의 신체건강관리 관련 요인
Factors Related to Physical Health Monitoring in Community-Dwelling Patients with Schizophrenia Spectrum Disorder
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Objectives: To identify factors related to physical health monitoring of patients with schizophrenia spectrum disorder. Methods: A total of 172 patients with schizophrenia spectrum disorder registered in mental health welfare centers and rehabilitation facilities in Gwangju were recruited. Physical health monitoring was defined by two health behaviors; fasting blood tests within recent 2 years in all participants and routine medical check-ups covered by national insurance within recent 5 years in participants aged 40 years or older. Demographic and clinical characteristics including overweight, metabolic syndrome and knowledge about physical illness were compared according to physical health monitoring. Results: Prevalence of overweight and metabolic syndrome were 62.8% and 40.1%, respectively. The rates of fasting blood tests and routine medical check-ups were 34.9% and 67.9%, respectively. The rates of fasting blood tests were significantly higher in general hospital and university hospital compared to mental hospital or private clinic. Rates of routine medical check-ups were significantly lower in individuals using daily rehabilitation service and smokers. Knowledge about cancer and chronic illness were significantly better in individuals receiving routine medical check-ups compared with those not receiving it. Conclusion: Education about physical health should be integrated to mental health service in community mental health center.
Abstract
Objectives: To identify factors related to physical health monitoring of patients with schizophrenia spectrum disorder. Methods: A total of 172 patients with schizophrenia spectrum disorder registered in mental health welfare centers and rehabilitation facilities in Gwangju were recruited. Physical health monitoring was defined by two health behaviors; fasting blood tests within recent 2 years in all participants and routine medical check-ups covered by national insurance within recent 5 years in participants aged 40 years or older. Demographic and clinical characteristics including overweight, metabolic syndrome and knowledge about physical illness were compared according to physical health monitoring. Results: Prevalence of overweight and metabolic syndrome were 62.8% and 40.1%, respectively. The rates of fasting blood tests and routine medical check-ups were 34.9% and 67.9%, respectively. The rates of fasting blood tests were significantly higher in general hospital and university hospital compared to mental hospital or private clinic. Rates of routine medical check-ups were significantly lower in individuals using daily rehabilitation service and smokers. Knowledge about cancer and chronic illness were significantly better in individuals receiving routine medical check-ups compared with those not receiving it. Conclusion: Education about physical health should be integrated to mental health service in community mental health center.
참고문헌 (34)
- Oakley P, "Increased mortality among people with schizophrenia and other non-affective psychotic disorders in the community: a systematic review and meta-analysis", J Psychiatr Res, 102, pp.245~253 (2018)
- Hjorthøj C, "Years of potential life lost and life expectancy in schizophrenia: a systematic review and meta-analysis", Lancet Psychiatry, 4, pp.295~301 (2017)
- Brown S, "Causes of the excess mortality of schizophrenia", Br J Psychiatry, 177, pp.212~217 (2000)
- Thornicroft G, "Physical health disparities and mental illness: the scandal of premature mortality", Br J Psychiatry, 199, pp.441~442 (2011)
- Marder SR, "Physical health monitoring of patients with schizophrenia", Am J Psychiatry, 161, pp.1334~1349 (2004)
- Penninx B, "Metabolic syndrome in psychiatric patients:overview, mechanisms, and implications", Dialogues Clin Neurosci, 20, pp.63~73 (2018)
- 이원철, "건강검진 총괄 : 우리나라 국가건강검진 현황 및 발전방향", 대한의사협회지, 53(5), pp.363~370 (2010), 대한의사협회
- Broyles RW, "Health risks, ability to pay, and the use of primary care: is the distribution of service effective and equitable?", Prev Med, 30, pp.453~462 (2000)
- Roberts L, "Physical health care of patients with schizophrenia in primary care: a comparative study", Fam Pract, 24, pp.34~40 (2006)
- Holmberg SK, "Health and self-care practices of persons with schizophrenia", Psychiatr Serv, 50, pp.827~829 (1999)
- 한순희, "한국인의 성별에 따른 건강검진 수검 관련 요인: 국민건강영양조사 제6기 1차(2013) 자료를 이용하여", 보건교육건강증진학회지, 33(3), pp.37~48 (2016), 한국보건교육건강증진학회[DOI]
- Park JH, "Factors affecting the participation rate of the mass screenings of the disabled of national", pp.2006
- Guy W, "ECDEU Assessment Manual for Psychopharmacology", National Institute of Mental Health, ~ (1976)
- "Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III)", JAMA, 285, pp.2486~2497 (2001)
- Lee S, "Cutoff points of waist circumference for defining abdominal obesity in the Korean population", J Obes Metab Syndr, 15, pp.1~9 (2006)
- "Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)-short and long forms" (2005)[URL]
- 박은옥, "제 5기 국민건강영양조사로 추정한 한국 성인의 대사증후군 유병률과 관련 요인", 농촌의학.지역보건, 38(1), pp.1~13 (2013), 한국농촌의학.지역보건학회
- 권혁상, "한국 성인에서의 NCEP-ATP III 기준을 적용한 대사증후군 유병률과 임상적 특징", 대한내과학회지, 68(4), pp.359~368 (2005), 대한내과학회
- 남윤영, "만성 정신분열병 환자들의 대사증후군과 관련된 임상 특징들", 대한정신약물학회지, 17(4), pp.335~341 (2006), 대한정신약물학회
- Kang KD, "Prevalence of metabolic syndrome in chronic schizophrenic inpatients", J Korean Soc Biol Ther Psychiatry, 18, pp.281~289 (2012)
- 이선혜, "일 정신요양시설에 거주하는 조현병 환자의 대사증후군 관련요인", 정신간호학회지, 25(1), pp.1~10 (2016), 한국정신간호학회[DOI]
- Liu NH, "Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas", World Psychiatry, 16, pp.30~40 (2017)
- Correll CU, "Effects of antipsychotics, antidepressants and mood stabilizers on risk for physical diseases in people with schizophrenia, depression and bipolar disorder", World Psychiatry, 14, pp.119~136 (2015)
- Korean Society for Schizophrenia Research, "Cardiovascular-Metabolic Disorders Korean Related Guidelines Related to Antipsychotic Drugs", ~ (2008)
- "2014", ~
- "Korea health statistics:Health screening" (2016)[URL]
- Lee W, "Behavioral pattern for participating national health screening program and national cancer screening program" (2003), National Health Insurance Corporation
- Osborn DP, "Participation in screening for cardiovascular risk by people with schizophrenia or similar mental illnesses: cross sectional study in general practice", BMJ, 326, pp.1122~1123 (2003)
- Lambert TJ, "Medical comorbidity in schizophrenia", Med J Aust, 178, pp.S67~S70 (2003)
- Buhagiar K, "Physical health behaviours and health locus of control in people with schizophrenia-spectrum disorder and bipolar disorder: a cross-sectional comparative study with people with non-psychotic mental illness", BMC Psychiatry, 11, pp.104~ (2011)
- Ryan P, "Integrated theory of health behavior change: background and intervention development", Clin Nurse Spec, 23, pp.161~172 (2009)
- Liu M-H, "A correlational study of illness knowledge, self-care behaviors, and quality of life in elderly patients with heart failure", J Nurs Res, 22, pp.136~145 (2014)
- Brewer NT, "Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination", Health Psychol, 26, pp.136~145 (2007)
- Peterson NB, "The influence of health literacy on colorectal cancer screening knowledge, beliefs and behavior", J Natl Med Assoc, 99, pp.1105~1112 (2007)