Multiple physical healthcare needs among outpatients with schizophrenia: findings from a health examination study
| العنوان: | Multiple physical healthcare needs among outpatients with schizophrenia: findings from a health examination study |
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| المؤلفون: | Tuomas Koskela, Matti Holi, Kaisla Joutsenniemi, Jaana Suvisaari, Saana Eskelinen, Eila Sailas |
| المصدر: | Nordic Journal of Psychiatry. 71:448-454 |
| بيانات النشر: | Informa UK Limited, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Psychological intervention, Physical examination, Comorbidity, Disease, Logistic regression, 03 medical and health sciences, 0302 clinical medicine, Health care, Ambulatory Care, Humans, Medicine, Obesity, 030212 general & internal medicine, Psychiatry, Physical Examination, Health Services Needs and Demand, medicine.diagnostic_test, business.industry, Middle Aged, medicine.disease, 030227 psychiatry, 3. Good health, Psychiatry and Mental health, Cross-Sectional Studies, Schizophrenia, Female, Observational study, business |
| الوصف: | Despite the abundant literature on physical comorbidity, the full range of the concurrent somatic healthcare needs among individuals with schizophrenia has rarely been studied.This observational study aimed to assess the distressing somatic symptoms and needs for physical health interventions in outpatients with schizophrenia, and factors predicting those needs.A structured, comprehensive health examination was carried out, including a visit to a nurse and a general practitioner on 275 outpatients with schizophrenia. The required interventions were classified by type of disease. Logistic regression was used to assess the influence of sociodemographic factors, lifestyle, functional limitations, factors related to psychiatric disorder, and healthcare use on the need for interventions.In total, 44.9% of the patients (mean age 44.9 years) reported somatic symptoms affecting daily life; 87.6% needed specific interventions for a disease or condition, most commonly for cardiovascular, dermatological, dental, ophthalmological, and gastrointestinal conditions, and for altered glucose homeostasis. Smoking and obesity predicted significantly a need of any intervention, but the predictors varied in each disease category. Strikingly, use of general practitioner services during the previous year did not reduce the need for interventions.Health examinations for outpatients with schizophrenia revealed numerous physical healthcare needs. The health examinations for patients with schizophrenia should contain a medical history taking and a physical examination, in addition to basic measurements and laboratory tests. Prevention and treatment of obesity and smoking should be given priority in order to diminish somatic comorbidities in schizophrenia. |
| تدمد: | 1502-4725 0803-9488 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f99f38c1a7649e8026a6e26547f03e62 https://doi.org/10.1080/08039488.2017.1319497 |
| رقم الأكسشن: | edsair.doi.dedup.....f99f38c1a7649e8026a6e26547f03e62 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 15024725 08039488 |
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