Community Mental Health Nursing
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Browsing Community Mental Health Nursing by Author "Dr. Iyad Ali"
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- ItemBlood Profile of Schizophrenic Clients in Northern Palestine(2013) Hisham zaher zhran; Dr. Iyad Ali; Dr. Adham Abu TahaBackground: People with schizophrenia die prematurely because antipsychotic medications and patients’ lifestyle, contribute to excess morbidity and mortality in these patients. Hematological side effects of antipsychotic drugs such as leucopenia, neutropenia, agarnulocytosis, leukocytosis, thrombocytopenia, thrombocythaemia and anemia occur infrequently but remain a potential cause of serious toxicity and people with schizophrenia make poor dietary choices. Complete blood count is one of the measures to investigate these morbidities and mortalities. Objectives: The objective of this study was to investigate the blood profile and general characteristics in a group of schizophrenic patients in Northern West-Bank, Palestine. Methods: A cross sectional study was conducted between August 2011 and February 2012 at the governmental primary psychiatric health care centers in Northern West-Bank, Palestine. Two hundred and fifty patients were selected by convenience sampling method. A complete blood count (CBC) was performed on blood samples collected from the selected patients to investigate the white and red blood cells, as well as platelet count. Results: The number of schizophrenic patients having anemia in our study was 63 (25.2%). Regression analysis showed that gender was significant factor associated with the prevalence of anemia in schizophrenic patients, the prevalence of female patients they have anemia more than male patients. The majority of patients had normal white blood cells and platelets counts. Conclusion and recommendation: Anemia was found among 25.2% of study population in schizophrenic patients as result of poor nutritional status, unhealthy life style of these patients, and antipsychotic drugs. It is recommended that mental health providers deliver patients with an appropriate community-based intervention strategy for prevention, detection and treatment of anemia. Furthermore, the low educational achievement among participants makes education a potentially important area for interventions targeted at this group. Lastly, the job skills of patients should be improved.
- ItemPrevalence of Dyslipidemia among Schizophrenic Clients in Northern West Bank(2012) Sami "Moh’d Shaker" Saleh Al-Abwini; Dr. Iyad Ali; Prof. Waleed SweilehIndividuals with major mental disorders lose 25 or more years of life expectancy, with coronary heart disease (CHD) as the leading cause of death. Dyslipidemia is a common health problem worldwide, and defined by the presence of one or more than one abnormal serum lipid concentration, and schizophrenic clients are at higher risk of dyslipidemia and at higher risk of dying from cardiovascular diseases. AIM: The aim of the study is to determine the prevalence of dyslipidemia among schizophrenic clients who are attending governmental psychiatric clinics in northern West Bank of Palestine. METHOD: Data was analyzed from a cross-sectional study that included a Convenience sampling of 251 schizophrenic clients attending governmental psychiatric clinics in northern West Bank of Palestine (Jenin, Tulkaram, Nablus and Qalqilia), Aged 16 years and older. According to the NCEP ATP III criteria, High total cholesterol (TC) was defined as TC ≥200 mg/dl and hypertriglyceridemia as serum triglyceride level ≥150 mg/dl. Low high-density lipoprotein cholesterol (HDL-C) was defined as serum HDL-C <40 mg/dl. High low-density lipoprotein cholesterol (LDL-C) was defined as serum LDL-C ≥130 mg/dl. RESULTS: The analysis shows an of a total of 251 subjects, 43.4% had high TC level, 33.8% had high LDL-C, 41.4% had low HDL-C, 48.2% had high triglyceride levels, and 66.5% had at least one abnormal lipid level. The prevalence of dyslipidemia in schizophrenic clients was significantly higher than from general population in other country. The prevalence of dyslipidemia in male more than female in all plasma lipids, with significant relationship in low HDL-C (p/0.02). The prevalence of hypercholesterolemia, hypertriglyceridemia, high LDL-C, and abnormally low HDL-C, were higher in all age groups.BMI was associated with high triglycerides, and there was significant relationships between high total cholesterol and smoker. CONCLUSION AND RECOMMENDATION: This study confirmed the high prevalence of dyslipidemia among clients diagnosed with schizophrenia, which necessitates appropriate the institution of community-based intervention strategy for prevention, detection and treatment of dyslipidemia.