Bruce J, Watson D, van Teijlingen E R, Lawton K, Watson M S, Palin A N
Department of Public Health, University of Aberdeen, Foresterhill, Scotland, UK.
J Adv Nurs. 1999 May;29(5):1060-7. doi: 10.1046/j.1365-2648.1999.01001.x.
Health service reforms have led to relocation of care of the chronic mentally ill from institutions to the community, with subsequent demands on the primary health care team. Few studies have attempted to identify satisfactory models of care for this patient group. This study explores the impact of the employment of a community psychiatric nurse (CPN) by a general practice in Aberdeen city to co-ordinate care of discharged long-stay psychiatric patients resettled in hostels. A similar general practice with a comparable group of registered patients was selected as a control group. Patient health outcome was measured using the Health of the Nation Outcome Scales (HoNOS) and service providers' views on dedicated psychiatric care within general practice were explored using qualitative methods. Improvements in communication, liaison and drug management were reported in the intervention practice. A primary care-based CPN service dedicated to the care of the chronic mentally ill promoted a smooth transfer of care from long-term institutionalized care to the community setting.
医疗服务改革已导致慢性精神病患者的护理从机构转移至社区，这对初级医疗团队提出了后续要求。很少有研究试图确定针对该患者群体的令人满意的护理模式。本研究探讨了阿伯丁市一家全科诊所聘用一名社区精神科护士（CPN）来协调安置在旅社中的长期住院精神科出院患者护理的影响。选择了一家有类似注册患者群体的类似全科诊所作为对照组。使用《国家健康结果量表》（HoNOS）测量患者健康结果，并采用定性方法探讨服务提供者对全科医疗中专门精神科护理的看法。干预实践中报告了沟通、联络和药物管理方面的改善。以初级保健为基础的CPN服务致力于慢性精神病患者的护理，促进了护理从长期机构化护理向社区环境的顺利过渡。
