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Master Thesis

Comorbidités, disparité des soins, et évolution de la prise en charge somatique des patients schizophrènes

Abstract : Introduction : The reduced life expectancy of patients with schizophrenia is related to both a higher prevalence of comorbidities (especially cardiovascular comorbidities) but also to disparity in healthcare. Objective : Assess the role of the referent nurse in metabolic monitoring and quality of somatic monitoring of patients with schizophrenia in 2014. Method : 164 files of schizophrenic (or schizoaffective) patients who have seen a psychiatrist at the CMP of Versailles in 2014 have been analysed. 2 groups have been made: group #1 (91 patients) followed by a referent nurse and group #2 (73 patients) not followed by a nurse. Results : The monitoring of all cardiovascular risk factors (blood pressure, abdominal perimeter, weight, ECG, lipid blood test and blood sugar level) has been made for 26% of group #1 patients, against 1% of group #2 patients. In total, 15.2 % of the patients got a complete metabolic monitoring. 81% of the 164 patients have the name of their regular doctor written in the file. Only 14% of these patients have seen a general practitioner in 2014. Somatic comorbidities and their treatments were better known in group #1. Group #1 patients require more treatments: more frequent social care with higher protective measures, more important follow-up in day hospital, and greater drugs use. Conclusion : Referent nurses enable a better metabolic monitoring. Measures of improvement exist: expand their role and implement monitoring protocols also for doctors.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01221326
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Submitted on : Tuesday, October 27, 2015 - 5:28:20 PM
Last modification on : Friday, March 27, 2020 - 2:21:51 AM
Long-term archiving on: : Thursday, January 28, 2016 - 11:20:41 AM

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  • HAL Id : dumas-01221326, version 1

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Ingrid Aubineau. Comorbidités, disparité des soins, et évolution de la prise en charge somatique des patients schizophrènes. Médecine humaine et pathologie. 2015. ⟨dumas-01221326⟩

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