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格陵兰精神科患者躯体障碍的物质使用和生活方式风险因素。

Substance use and lifestyle risk factors for somatic disorders among psychiatric patients in Greenland.

机构信息

Psychiatric Area, Queen Ingrid's Hospital, Nuuk, Greenland.

Department of Forensic Psychiatry, Aarhus University Hospital Psychiatry, Aarhus, Denmark.

出版信息

Int J Circumpolar Health. 2024 Dec;83(1):2421049. doi: 10.1080/22423982.2024.2421049. Epub 2024 Oct 27.

Abstract

Patients with psychotic disorders exhibit elevated mortality and morbidity rates compared to the general population primarily due to comorbid somatic diseases. This study aims to describe the prevalence of selected risk factors and somatic disorders among psychiatric patients with a diagnosis of psychotic disorder. Material and methods: Data were retrieved from Greenland's nationwide electronic medical record. The study population consists of 104 patients diagnosed with a psychotic disorder, encompassing schizophrenia or schizotypal and delusional disorders, residing in Nuuk. The study population comprised 104 patients (68 males and 36 females) with a mean age of 40 years. More than 80% were daily smokers, and 68% had harmful use of cannabis. More than half had dyslipidemia (any imbalance in lipids), while over a quarter were classified as obese with body mass index of 30 kg/m2 or higher. Eighteen percent had hypertension, and six percent suffered from diabetes. This study revealed a notable prevalence of risk factors for somatic diseases, particularly smoking and cannabis use among patients with schizophrenia in Nuuk, indicating that a high prevalence of somatic diseases might be expected as the population gets older and the risk of developing somatic diseases becomes greater. Increased focus on monitoring and preventing those as part of the health care is recommended.

摘要

与一般人群相比,患有精神病性障碍的患者的死亡率和发病率较高,主要是由于合并躯体疾病。本研究旨在描述精神科患者中诊断为精神病性障碍的患者中某些危险因素和躯体障碍的患病率。

材料和方法

数据取自格陵兰全国性电子病历。研究人群包括居住在努克的 104 名患有精神病性障碍(包括精神分裂症或精神分裂样和妄想障碍)的患者。该研究人群由 104 名患者(68 名男性和 36 名女性)组成,平均年龄为 40 岁。超过 80%的人是每日吸烟者,68%的人有滥用大麻的情况。超过一半的人有血脂异常(任何脂质失衡),超过四分之一的人被归类为肥胖,体重指数为 30kg/m2 或更高。18%的人患有高血压,6%的人患有糖尿病。本研究显示,在努克的精神分裂症患者中,躯体疾病的危险因素,特别是吸烟和大麻使用的患病率很高,这表明随着人口老龄化和躯体疾病的风险增加,可能会预期有更高的躯体疾病患病率。建议增加对这些疾病的监测和预防,作为医疗保健的一部分。

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本文引用的文献

1
Forensic psychiatry patients, services, and legislation in Nunavut and Greenland.
Int J Law Psychiatry. 2023 Nov-Dec;91:101921. doi: 10.1016/j.ijlp.2023.101921. Epub 2023 Sep 8.
4
Dyslipidemia and the preventive potential in the Greenlandic population.格陵兰人群中的血脂异常及其预防潜力。
Atheroscler Plus. 2022 Dec 27;51:22-27. doi: 10.1016/j.athplu.2022.12.003. eCollection 2023 Mar.

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