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2019 年,在埃塞俄比亚亚的斯亚贝巴的六家精神病诊所和精神病医院中,第二代抗精神病药物患者中代谢综合征的程度及其预测因素;多中心横断面研究。

Magnitude of metabolic syndrome and its predictors among patients on second-generation antipsychotic drugs at six psychiatry clinics and mental hospitals, in Addis Ababa, Ethiopia, 2019; Multicenter cross-sectional study.

机构信息

Department of Pharmacy, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia, Pobox 1145.

Department of Public Health, Universal Medical and Business College, Addis Ababa, Ethiopia.

出版信息

Diabetes Metab Syndr. 2021 Jul-Aug;15(4):102187. doi: 10.1016/j.dsx.2021.102187. Epub 2021 Jun 26.

DOI:10.1016/j.dsx.2021.102187
PMID:34214901
Abstract

AIMS

Second-generation antipsychotics are an important component in the management of psychiatric conditions but their use can also lead to weight gain, diabetes, and dyslipidemia. Thus, this study aimed to assess the magnitude of metabolic syndrome and its predictors among patients who were on second-generation antipsychotic drugs at six psychiatry Hospitals, in Addis Ababa, Ethiopia, 2019.

METHOD

This study was conducted using a Multicenter cross-sectional study design. Medical charts of 510 patients on second-generation antipsychotic drugs who were selected by convenience sampling method and complete patients' charts were included in this study. Data was gathered using a checklist from patients' medical charts. To identify the determinants of metabolic syndrome, a logistic regression model was used.

RESULT

From a total of 510 patients' Medical charts on the second-generation antipsychotic drugs, 270 (52.9%) of them were females and 240 (47.1%) were males. The magnitude of metabolic syndrome among patients receiving second-generation antipsychotic drugs was found to be 88 (17.8%). Age, education, family history of cardiovascular disease, and type of second-generation antipsychotic drugs are found to be significantly associated factors with metabolic syndrome.

CONCLUSIONS

Considerable proportion of patients receiving second-generation antipsychotic medications have metabolic syndrome.

摘要

目的

第二代抗精神病药物是精神疾病治疗的重要组成部分,但它们的使用也会导致体重增加、糖尿病和血脂异常。因此,本研究旨在评估在埃塞俄比亚亚的斯亚贝巴的 6 家精神病医院使用第二代抗精神病药物的患者中代谢综合征的发生情况及其预测因素。

方法

本研究采用多中心横断面研究设计。采用便利抽样法选取了 510 名正在服用第二代抗精神病药物的患者的病历,并纳入了完整的病历进行研究。使用从患者病历中提取的检查表来收集数据。为了确定代谢综合征的决定因素,我们使用了逻辑回归模型。

结果

在总共 510 名正在服用第二代抗精神病药物的患者病历中,有 270 名(52.9%)为女性,240 名(47.1%)为男性。接受第二代抗精神病药物治疗的患者中代谢综合征的发生率为 88 例(17.8%)。年龄、教育程度、心血管疾病家族史和第二代抗精神病药物的类型被发现与代谢综合征显著相关。

结论

相当比例的接受第二代抗精神病药物治疗的患者患有代谢综合征。

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