ABSTRACT＊


Associated Factors on Metabolic Syndrome

among Inpatients with Schizophrenia


EUN-JIN OH


Department of Nursing, Graduate School
Chungnam National University
Daejon, Korea

(Supervised by Professor Moonhee Gang)


The purpose of the study was to explore the influencing factors on the metabolic syndrome among inpatients with schizophrenia. The descriptive research design was used.
The participants were 127 inpatients with schizophrenia from a mental hospital in Gwang-ju city. The study used the modified AHA / NHLBI (Alberti, 2009) based on NCEP-ATP Ⅲ as the diagnostic criteria for metabolic syndrome and the abdominal circumference was based on the criteria of the Korean Society of Obesity.
The collected data were analyzed using SPSS 22.0. The general characteristics of the participant, mental illness-related characteristics, and risk factors metabolic syndrome were analyzed using mean, standard deviation, error and percentage. Descriptive statistics were used. Differences in general characteristics, mental illnesses, and metabolic syndrome risk factors with or without metabolic syndrome were analyzed by χ2-test and t-test. The subjects'' metabolic syndrome related factors were logistic regression analysis.

The results of this study are as follows.

1. Metabolic syndrome prevalence of the participants was 46.5%.

2. There was a statistically significant difference according to the presence of physical disease(p<.001), body mass index(p<.001), and perception of obesity (p=.005). There was a statistically significant difference according to taking olanzapine (p <.002) the character-
istics related mental illness of participants

3. After Logistic regression analysis, as one unit of taking olanzapine increased, the metabolic syndrome increased 3.05 times(95% CI=1.02~9.10) As one unit of physical disease increased, the metabolic syndrome increased 3.65 times(95% CI=1.68∼7.92) and as one unit of body mass index was 23 or more, 3.05 times (95% CI = 1.02 ~ 9.10). The explanatory power of this model was 29.1%.

This study confirmed the prevalence of metabolic syndrome and related factors in inpatients with schizophrenia. It was found that the related factors that increase the prevalence of metabolic syndrome in schizophrenia patients were physical illness, BMI, and taking olanzapine. It should be used for the development and implementation of nursing intervention for the management and prevention of metabolic syndrome for inpatients with schizophrenia.