Metabolic Monitoring of the Patients with Serious Mental Illness (SMI) in a Community Mental Health Center (CMHC) During the COVID-19 Pandemic

Ali Baran Tanrıkulu; Hilal Kaya; Mehmet Hamdi Örüm

doi:10.31067/acusaglik.1026886

EN

Metabolic Monitoring of the Patients with Serious Mental Illness (SMI) in a Community Mental Health Center (CMHC) During the COVID-19 Pandemic

Abstract

ÖZET Amaç: Şizofreni ve Bipolar Bozukluk gibi ciddi akıl hastalığı tanısıyla takipli hastaların metabolik izlemleri COVID-19 salgını sırasında sağlık hizmetlerinin kesintiye uğraması nedeniyle aksadı. Bu çalışmadaki amacımız, bir Toplum Ruh Sağlığı Merkezinde (TRSM) takip edilen hastaların başlangıçtaki (pandemi öncesi) ve COVID-19 pandemisinden 12 ay sonraki metabolik parametrelerini karşılaştırmaktır. Yöntem: Vücut kitle indeksi (VKİ), bel çevresi, yüksek yoğunluklu lipoprotein (HDL), aterojenik plazma indeksi (AIP) gibi metabolik parametreleri başlangıçta (pandemi öncesi) ve pandemi sonrası 12.ayda karşılaştırdık. Bulgular: VKİ (p<0,001), bel çevresi (p<0,001) ve HDL düzeyleri (p<0,001) hem şizofreni (n=17) hem de bipolar bozukluk (n=17) hastaları için pandemi sonrası 12. ayda başlangıca göre göre anlamlı olarak daha yüksek olarak saptandı. Obezite prevalansı, 12. ayda başlangıca kıyasla istatistiksel olarak anlamlı düzeyde daha yüksekti. AIP düzeyinde istatistiksel olarak anlamlı düzeyde değişiklik saptanmadı. Sonuç: COVID-19 pandemisi boyunca uygulanan sosyal kısıtlamaların neden olduğu fiziksel hareketsizlik metabolik parametreler üzerinde kötüleştirici etkiye neden olabilir. Hastaların metabolik izlemleri VKİ, AIP, bel çevresi ve açlık glukozuyla yapılabilir. Yaygın aşılama programı ve sosyal kısıtlamaların azalması hastaların metabolik izlemlerinin yeniden başlaması ve gerekli müdahalelerin yapılması için fırsat sunmaktadır. Obezitenin COVID-19 ile ilişkili hastaneye yatış, ağır hastalık ve ölüm riskinde artışa neden olduğu göz önünde bulundurularak hastaların pandemi sürecinde aksayan metabolik izlemleri dikkatle yapılmalıdır.

Keywords

References

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Details

Primary Language

English

Subjects

Psychiatry

Journal Section

Research Article

Authors

Ali Baran Tanrıkulu ^*
0000-0002-3484-1516
Türkiye

Hilal Kaya
0000-0002-8229-211X
Türkiye

Mehmet Hamdi Örüm
0000-0002-4154-0738
Türkiye

Publication Date

October 1, 2022

Submission Date

November 22, 2021

Acceptance Date

April 21, 2022

Published in Issue

Year 2022 Volume: 13 Number: 4

DOI

https://doi.org/10.31067/acusaglik.1026886

IZ

https://izlik.org/JA87KF58MW

Cite

RIS / Bibtex

EndNote

Tanrıkulu AB, Kaya H, Örüm MH (October 1, 2022) Metabolic Monitoring of the Patients with Serious Mental Illness (SMI) in a Community Mental Health Center (CMHC) During the COVID-19 Pandemic. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13 4 543–550.

Öz

Metabolic Monitoring of the Patients with Serious Mental Illness (SMI) in a Community Mental Health Center (CMHC) During the COVID-19 Pandemic

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

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