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KMID : 1177320190220010014
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Korean Journal of Schizophrenia Research
2019 Volume.22 No. 1 p.14 ~ p.20
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Factors Related to Physical Health Monitoring in Community-Dwelling Patients with Schizophrenia Spectrum Disorder
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Kim Mi-Na
Jeun Moon-Jung
Lee Ju-Yeon
Kim Seon-Young
Kim Jae-Min
Yoon Jin-Sang
Kim Soo-Jin
Kim Sung-Wan
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Abstract
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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.
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KEYWORD
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Schizophrenia, Physical health, Smoking, Medical check-ups, Community
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