Health status analysis on 285 patients registered with schizophrenia

ObjectiveTo analyze physical examination data from 285 schizophrenia patients at home and registered in Zhujing Town, Jinshan District, Shanghai, to investigate the characteristics of physical illness of patients, and to ascertain the impact of taking antipsychotic drugs on patients so as to achieve better community rehabilitation and service management.

MethodsA physical examination was conducted on community-based home rehabilitation schizophrenia patients to obtain and analyze the health status of patients with schizophrenia.

ResultsPhysical examinations were made for 285 patients at home and in community management. Of those patients, 135 were male(47.37%)and 150 female(52.63%); 114 had abnormal blood pressure(40.00%); 68 had fasting blood glucose abnormalities(23.86%), and 46 triglyceride abnormalities(16.14%); 87 were cases of total cholesterol abnormality(accounting for 30.53%), 84 cases of abnormal liver function(accounting for 29.47%)and 73 cases of abnormal electrocardiogram(accounting for 25.61%), 37 cases of obesity(12.98%); Among the cases of abnormal fasting blood glucose, the abnormal rate was the highest in the age group of≥60 years old, which was 34.06%(χ²=15.991, P < 0.05). Among the obese patients, the abnormal rate was the highest in the 18-44 age group, which was 24.49%(χ²=7.995, P < 0.05);the abnormal rate of blood pressure in patients administered with antipsychotic drugs was higher than that in non-administered patients, which was 42.51%(χ²=4.863, P < 0.05). The rate of abnormal liver function was higher in patients administered with antipsychotic drugs, which was 31.98%(χ²=5.615, P < 0.05);the highest rate of fasting blood glucose was found to be in patients who were administered≥30 years, which was 31.26%(χ²=13.278, P < 0.05).

ConclusionThe rate of abnormal blood pressure, fasting blood glucose and obesity in patients with schizophrenia is higher than that of the general population. It is necessary to strengthen the prevention and treatment of hypertension, diabetes and obesity in patients with schizophrenia at home; and regular physical examinations should be conducted for schizophrenia patients so as to make early detection, early diagnosis and early treatment of related physical diseases.