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

doi:10.16946/kjsr.2019.22.1.14

Journal List > Korean J Schizophr Res > v.22(1) > 1121617

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Kim, Jhon, Lee, Kim, Kim, Yoon, Kim, and Kim: Factors Related to Physical Health Monitoring in Community-Dwelling Patients with Schizophrenia Spectrum Disorder

Original Article

Korean Journal of Schizophrenia Research 2019; 22(1): 14-20.

Published online: 25 April 2019

DOI: https://doi.org/10.16946/kjsr.2019.22.1.14

Factors Related to Physical Health Monitoring in Community-Dwelling Patients with Schizophrenia Spectrum Disorder

Mina Kim, RN^1,², Min Jhon, MD³, Ju-Yeon Lee, MD^1,³, Seon-Young Kim, MD, PhD³, Jae-Min Kim, MD, PhD³, Jin-Sang Yoon, MD, PhD³, Soo-Jin Kim, RN, PhD², Sung-Wan Kim, MD, PhD^1,³

¹Department of Nursing, Graduate School, Chonnam National University, Gwangju, Korea.

²Gwangju Mental Health and Welfare Commission, Gwangju, Korea.

³Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea.

Address for correspondence: Sung-Wan Kim, Department of Psychiatry, Chonnam National University Medical School, 160 Baekseo-ro, Dong-gu, Gwangju 61469, Korea. Tel: 062-220-6148, Fax: 062-225-2351 swkim@chonnam.ac.kr

Received 26 October 2018 Revised 29 December 2018 Accepted 10 January 2019

Korean Society for Schizophrenia Research

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.

Keywords: Schizophrenia, Physical health, Smoking, Medical check-ups, Community

Figures and Tables

Table 1

Questionnaire for knowledge of cancer and chronic physical illness

Table 2

Comparisons of demographic and clinical characteristics according to fasting blood tests

^*: Valid percent

Table 3

Comparisons of demographic and clinical characteristics according to routine medical check ups

^*: Valid percent

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