Sousa Karen H, Zunkel Gretchen M, Jordan Holman Elizabeth
Arizona State University's College of Nursing, Tempe.
J Am Acad Nurse Pract. 2003 Jul;15(7):313-8. doi: 10.1111/j.1745-7599.2003.tb01314.x.
To evaluate the initial results of tracking the health outcomes, specifically mental health outcomes, for clients at an academic nursing clinic and to describe an approach to mental health treatment in this setting.
Descriptive-survey design with convenience sampling of patients from a nurse-managed clinic (N = 151). As part of the routine documentation for clinic clients, the Medical Outcomes Study Short-Form 36-Item Health Survey (SF-36) was selected to monitor client health outcomes.
This health status evaluation indicated that the mental health scores for clinic clients were lower than national normed data. This result could reflect unmet mental health needs in clinic clients. Mental health reasons for the visit were reported in only 3% of the sample. Most clients in this sample sought treatment in the clinic for physical health screening and episodic health problems.
Integration of mental health interventions in primary care settings may help providers to optimize the management of clients' overall health status.
评估在一家学术护理诊所跟踪客户健康结局，特别是心理健康结局的初步结果，并描述该环境下心理健康治疗的方法。
采用描述性调查设计，对一家护士管理诊所的患者进行便利抽样（N = 151）。作为诊所客户常规文档的一部分，选择医学结局研究简版36项健康调查（SF - 36）来监测客户的健康结局。
这项健康状况评估表明，诊所客户的心理健康得分低于全国常模数据。这一结果可能反映出诊所客户未满足的心理健康需求。样本中仅3%的客户报告就诊原因是心理健康问题。该样本中的大多数客户到诊所寻求治疗是为了进行身体健康筛查和偶发性健康问题。
在初级保健环境中整合心理健康干预措施可能有助于医疗服务提供者优化客户整体健康状况的管理。
