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Minerva Psichiatrica 2013 March;54(1):93-9

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: Italian

Risk of metabolic syndrome and taking care of patients with psychotic disorders spectrum in a psychiatric territorial structure: an experimental model of intervention

Latina A., Plantulli A.

I.C.P. Milano, Unità Operativa Psichiatrica N. 40, Cusano Milanino, Milano, Italia


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Aim: The aim of this paper was to have a systematic attention to the Metabolic Syndrome Risk in Territorial Psychiatric structures, recalibrating the taking care model and the underlined mentality.
Methods: The creation of a purchaser instrument, the so called “Griglia”, (papery and informating), by the involvement of patients and caregivers in a proactive way, paying attention to the body in the treatment process. It means to involve the General Practice in Primary and Secondary Prevention’s activities, with a subdivision of objectives, and a collaboration with the Diabetology, as the most medical institution involved. We would like to create, after the first year, a “Well-being Group” following pedagogic-behavioural methods, and managed from nurses or educators, properly prepared, representing a secondary prevention level carried out by the structure.
Results: Patients and caregivers concern themselves on the somatic implications in medium-long period; it was improved the pharmacotherapy’s adherence and the care about the “depot” administrations; discovered both a great number of unrecognised prediabetic and diabetic events, and lipidic profile dysfunctions and hypertension; improved patient’s faith on the personnel. We found a scarce adherence of the surgeons, despite of their formal adhesion and a discontinuous adding of the General Practice.
Conclusion: We believe that it should be desirable and necessary to look after the body in the taking care process of the psychotic spectrum through primary and secondary criteria, so to refine sanitary-charitable functions with the General Practice and Diabetology, in order to estimate outcomes criteria and quality of life in these subjects. The work group’s attitude towards this methodological approach should be strengthened so to improve the work in agreement with General Practice and Diabetology.

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