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Korean J Schizophr Res > Volume 22(1); 2019 > Article
Korean Journal of Schizophrenia Research 2019;22(1):14-20.
DOI: https://doi.org/10.16946/kjsr.2019.22.1.14    Published online April 30, 2019.
Factors Related to Physical Health Monitoring in Community-Dwelling Patients with Schizophrenia Spectrum Disorder.
Mina Kim, Min Jhon, Ju Yeon Lee, Seon Young Kim, Jae Min Kim, Jin Sang Yoon, Soo Jin Kim, Sung Wan Kim
1Department of Nursing, Graduate School, Chonnam National University, Gwangju, Korea. swkim@chonnam.ac.kr
2Gwangju Mental Health and Welfare Commission, Gwangju, Korea.
3Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.
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.
Key Words: Schizophrenia · Physical health · Smoking · Medical check-ups · Community


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