Robson Debbie, Gray Richard
Health Services Research Department, King's College London, Section of Psychiatric Nursing, Institute of Psychiatry, De Crespigny Park, London, UK.
Int J Nurs Stud. 2007 Mar;44(3):457-66. doi: 10.1016/j.ijnurstu.2006.07.013. Epub 2006 Sep 27.
People with serious mental illness have higher morbidity and mortality rates of chronic diseases than the general population. This discussion paper explores the complex reasons for these disparities in health, such as limitations of health services, the effects of having a serious mental illness, health behaviours and the effects of psychotropic medication. Physical health can be enhanced by improved monitoring and lifestyle interventions initiated at the start of treatment. There are opportunities for mental health nurses to play a significant role in improving both the physical and mental health of people with serious mental illness.
患有严重精神疾病的人群比普通人群患慢性病的发病率和死亡率更高。本讨论文件探讨了这些健康差异的复杂原因,例如卫生服务的局限性、患有严重精神疾病的影响、健康行为以及精神药物的影响。通过在治疗开始时加强监测和采取生活方式干预措施,可以改善身体健康状况。心理健康护士有机会在改善患有严重精神疾病者的身心健康方面发挥重要作用。