Mike J. Crawford, MD, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK and Centre for Mental Health, Imperial College London, UK; Simone Jayakumar, BSc, Suzie J. Lemmey, MSc, Krysia Zalewska, BSc, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK; Maxine X. Patel, BSc, MBBS, MSc, MD, FRCPsych, Institute of Psychiatry, King's College London, UK; Stephen J. Cooper, MD, David Shiers, MBChB, MRCGP, Centre for Quality Improvement, Royal College of Psychiatrists, London, UK.
Br J Psychiatry. 2014 Dec;205(6):473-7. doi: 10.1192/bjp.bp.113.142521. Epub 2014 Oct 16.
In the UK and other high-income countries, life expectancy in people with schizophrenia is 20% lower than in the general population.
To examine the quality of assessment and treatment of physical health problems in people with schizophrenia. Method Retrospective 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.
Body 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.
Assessment 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.
在英国和其他高收入国家，精神分裂症患者的预期寿命比普通人群低 20%。
检查精神分裂症患者的身体健康问题评估和治疗质量。
回顾性审核 ⩾18 岁的精神分裂症或分裂情感障碍患者的记录。我们收集了 5091 名患者的 9 项关键身体健康方面的数据，并将这些数据与横断面患者调查相结合。
在过去的 12 个月中，有 2599 名（51.1%）患者记录了体重指数，有 1102 名（21.6%）患者有记录证明对所有 9 项关键措施进行了评估。在血糖升高的患者中，有 53.5%的患者接受了适当的干预。在血脂异常的患者中，这一比例为 19.9%。尽管如此，大多数患者表示对他们所接受的身体保健服务感到满意。
精神分裂症患者常见身体健康问题的评估和治疗远低于可接受的标准。如果要降低该人群的过早死亡率，就需要改善初级和二级保健服务之间的合作和沟通。
