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严重精神疾病患者的总体健康状况不佳:精神分裂症诊断的影响。

The poor general health of the severely mentally ill: impact of schizophrenic diagnosis.

作者信息

Chafetz Linda, White Mary C, Collins-Bride Gerri, Nickens John

机构信息

University of California, San Francisco Community Health Systems, School of Nursing, USA.

出版信息

Community Ment Health J. 2005 Apr;41(2):169-84. doi: 10.1007/s10597-005-2651-z.

Abstract

This study focused on poor health among the severely mentally ill and additional risks associated with schizophrenia. Records of 781 clients in short-term residential treatment programs provided data. The schizophrenic subgroup was compared to others in bivariate analyses, with significant findings included in logistic regression. Those with schizophrenia were more likely to be male, unemployed, and insured by MediCal/Medicare. Most health problems occurred at similar rates across diagnoses, reflecting common environmental risk factors. Those with schizophrenia had less substance abuse and fewer liver conditions, but more diabetes and chronic respiratory problems. Implications for providers and for research are discussed.

摘要

本研究聚焦于重症精神病患者的健康状况不佳以及与精神分裂症相关的其他风险。短期住院治疗项目中781名患者的记录提供了数据。在双变量分析中,将精神分裂症亚组与其他亚组进行了比较,并将显著结果纳入逻辑回归分析。患有精神分裂症的患者更有可能为男性、失业且由加利福尼亚医疗补助/医疗保险承保。大多数健康问题在不同诊断中的发生率相似,这反映了常见的环境风险因素。患有精神分裂症的患者药物滥用情况较少,肝脏疾病也较少,但糖尿病和慢性呼吸道疾病较多。文中讨论了对医疗服务提供者和研究的启示。

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