Rümeysa TAŞDELEN, Batuhan AYIK, Hatice KAYA

Bakımevinde yaşayan Şizofreni Hastalarında Sosyodemografik ve Klinik Özelliklerin Kardiyovasküler Risk Skorları ile İlişkisinin İncelenmesi

Amaç: Şizofreni hastalarında kardiyovasküler riskin arttığı bilinmektedir. Çalışmamızda bakımevinde yaşayan şizofreni tanılı hastalarda Framingham risk skorlaması kullanılarak 10 yıllık kardiyovasküler hastalık gelişme riskini yordamak amaçlanmıştır. Gereç ve Yöntemler: Çalışmamızda bakımevinde yaşayan şizofreni hastalarının yaş, cinsiyet, eğitim durumu, hastalık süresi, kullanılan tedaviler gibi sosyodemografik ve klinik özellikleri yanında işlevsellikleri ve hastalık şiddetini saptamak üzere İşlevsellik Genel Değerlendirmesi ve Klinik Global İzlenim hastalık şiddeti ölçeği sonuçları kaydedilmiş, kardiyovasküler riskin hesaplanmasında yaş, cinsiyet, toplam kolesterol, HDL, sigara içme durumu, sistolik kan basıncı ve diabetes mellitus varlığını içeren Framingham risk skorlaması kullanılmıştır. Bulgular: 51 şizofreni hastası dahil edilmiş, hastaların Framingham risk skoru 4.65±4.63 olarak hesaplanmıştır. Framingham risk skorlarının hastalığın süresi (r=0.284, p=0.044), yaş (r=0363, p=0.01) ve bakımevinde kalış süresi (r=0. 538, p<0.001)) ile anlamlı ilişki bulunurken hastalık şiddeti, işlevsellik ve psikotropik ilaç sayıları arasında ilişki bulunamamıştır Sonuç: Sonuçlarımız ileri yaş, erkek cinsiyet ve bakımevinde kalış süresi gibi faktörlerin artmış kardiyovasküler hastalık riski ile ilişkili olduğunu göstermiştir. Bakımevi koşullarının kardiyovasküler hastalık riski üzerindeki etkilerini saptamak için bakımevinde kalmayan şizofreni hastalarını da içeren yeni çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Şizofreni, Bakımevi, Kardiyovasküler risk, Framingham risk skoru, Schizophrenia, Nursing home, Cardiovascular risk, Framingham risk score

Investigation of the Relationship of Sociodemographic and Clinical Characteristics with Cardiovascular Risk Scores in Patients with Schizophrenia Living in Nursing Homes

Objective: Cardiovascular risk increases in patients with schizophrenia. In our study, it was aimed to predict the 10-year risk of developing cardiovascular disease using the Framingham risk score in schizophrenia patients living in nursing homes Materials and Methods: In our study, the sociodemographic and clinical characteristics of schizophrenia patients living in nursing homes, such as age, gender, educational status, duration of disease, and treatments used, and Framingham risk scoring which included age, gender total cholesterol, HDL, smoking status, systolic blood pressure, and presence of diabetes mellitus. were used in the calculation of cardiovascular risk. Also, the results of the General Assessment of Functioning and Clinical Global Impression disease severity scale were recorded in order to determine the functionality and severity of the disease. Results: 51 patients with schizophrenia were included, and the Framingham risk score of the patients was calculated as 4.65±4.63. While Framingham risk scores were significantly correlated with disease duration (r=0.284, p=0.044), age (r=0363, p=0.01) and length of stay in nursing home (r=0.538, p<0.001)), No relationship was found between risk scores and the number of psychotropic drugs. disease severity or functionality. Conclusİon: Our results showed that factors such as advanced age, male gender and length of nursing home stay were associated with an increased cardiovascular disease risk. Further studies including schizophrenia patients who do not stay in nursing homes are essential to determine the effects of nursing home conditions on cardiovascular disease risk

Keywords:

Schizophrenia, Nursing home, Cardiovascular risk, Framingham risk score,

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