Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study
Assessment and treatment of physical health problems among people with schizophrenia: national cross-sectional study
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DOI：
10.1192/bjp.bp.113.142521
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发表时间：
2014-12-01
影响因子：
10.5
通讯作者：
Shiers, David
中科院分区：
文献类型：
--
作者：
Crawford, Mike J.;Jayakumar, Simone;Shiers, David
BackgroundIn the UK and other high-income countries，life expectancy in people with schizophrenia.MethodRetrospective audit of records of people with schizophrenia or adulocaffective disorder aged>= 18. BackgroundIn the UK and other high-income countries，life expectancy in people with schizophrenia is 20% lower than in the general population.AimsTo examine the quality of assessment and treatment of physical health problems in people with schizophrenia. Methods回顾性审计记录的人与精神分裂症或情感障碍年龄>= 18.我们收集了9个关键方面的身体健康的5091例患者的数据，并结合这些与横断面患者survey.ResultsBody mass index被记录在2599（51. 1%）患者在过去的12个月和1102（21. 6%）有证据的所有9个关键措施的评估。在高血糖患者中，有53.5%的人接受了适当的干预。在血脂异常患者中，这一比例为19.9%。尽管如此，大多数患者报告说，他们感到满意的身体healthcare他们received.ConclusionsAssessment和治疗常见的身体健康问题的人精神分裂症福尔斯远低于可接受的标准。如果要降低这一群体的过早死亡率，初级和二级保健服务之间的合作与沟通就需要改善。
BackgroundIn the UK and other high-income countries, life expectancy in people with schizophrenia is 20% lower than in the general population.AimsTo examine the quality of assessment and treatment of physical health problems in people with schizophrenia.MethodRetrospective audit of records of people with schizophrenia or schizoaffective disorder aged >= 18. We collected data on nine key aspects of physical health for 5091 patients and combined these with a cross-sectional patient survey.ResultsBody mass index was recorded in 2599 (51.1%) patients during the previous 12 months and 1102 (21.6%) had evidence of assessment of all nine key measures. Among those with high blood sugar, there was recorded evidence of 53.5% receiving an appropriate intervention. Among those with dyslipidaemia, this was 19.9%. Despite this, most patients reported that they were satisfied with the physical healthcare they received.ConclusionsAssessment and treatment of common physical health problems in people with schizophrenia falls well below acceptable standards. Cooperation and communication between primary and secondary care services needs to improve if premature mortality in this group is to be reduced.