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Open Access Addressing Physical Health Problems Experienced by People With Schizophrenia in Canada: A Critical Literature Review Les problèmes de santé physique chez les personnes atteintes de schizophrénie au Canada : une recension critique de la littérature

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The authors present a critical review of the literature produced by Canadian researchers regarding medical co-morbidities and the resources and strategies they recommend for assessing and managing the physical health problems of people with schizophrenia. Scientific production in the field consists of 9 original research articles and 6 literature reviews, revealing a dearth of studies in this area in Canada. The studies examined show that diabetes, obesity, heart disease, and substance abuse are the most frequent co-morbidities affecting people with schizophrenia. Another finding is that most researchers are challenged methodologically to generalize results due to limitations in design or sample characteristics. The authors point to the need for more research to better understand the role of treatment, individual characteristics, lifestyle, and structural issues in the development of co-morbidities among people with schizophrenia. They also discuss the importance of addressing these topics in nursing practice and education.

French
Les auteures présentent une recension critique de la littérature issue de chercheurs canadiens et portant sur les comorbidités médicales, et recommandent certaines ressources et stratégies pour l'évaluation et la gestion de problèmes de santé physique chez les personnes atteintes de schizophrénie. La littérature scientifique sur ce thème se résume à neuf articles de recherche originaux et six recensions de littérature, ce qui indique une rareté d'études dans ce domaine au Canada. Selon les recherches examinées, le diabète, l'obésité, les maladies cardiaques et l'abus de substances constituent les comorbidités les plus fréquentes chez les personnes souffrant de schizophrénie. Un autre constat qui découle de ces recherches est le fait que la plupart des chercheurs font face à des obstacles méthodologiques quant à la généralisation des résultats, en raison de limites sur le plan de la conception ou de caractéristiques présentes dans l'échantillonnage. Les auteures soulignent la nécessité d'intensifier la recherche pour mieux comprendre les rôles que jouent le traitement, les caractéristiques individuelles, le mode de vie et les problématiques structurelles dans le développement de comorbidités chez les personnes atteintes de schizophrénie. Elles discutent également de l'importance de traiter de ces questions dans le cadre de la pratique et de l'éducation en sciences infirmières.

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Keywords: CO-MORBIDITY; MENTAL HEALTH; PSYCHIATRIC NURSING; PSYCHOTIC DISORDERS; SCHIZOPHRENIA

Document Type: Research Article

Publication date: 2010-09-01

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