Chien Wai-Tong, Leung Sau-Fong, Chu Cecilia Sk
The Hong Kong Polytechnic University, Kowloon, Hong Kong, People's Republic of China.
Contemp Nurse. 2012 Feb;40(2):194-209. doi: 10.5172/conu.2012.40.2.194.
To shorten the waiting time for psychiatric treatment, nurse-led services may help in the first-line mental health consultation and interventions for patients with recent first onset of mental illness.
The study evaluated the effectiveness of a six-session nurse-led, needs-based psycho-education program for Chinese patients with mental health problems newly referred to an outpatient clinic in Hong Kong, when compared with routine outpatient care.
A randomized controlled trial with a pre- and post-test, control group design was conducted. Seventy-nine patients were randomly assigned to either the nurse-led psycho-education program (N = 39), or to usual psychiatric outpatient care (N = 40). Multiple patient outcomes and services utilization were measured at recruitment and 2 weeks after the intervention.
The results of a multivariate analysis of variance test indicated that the psycho-education group had significantly greater improvements in mental and overall health status, insights into their treatment and illness, and hospitalization rates at the post-test.
The findings provide evidence that nurse-led, needs-based psycho-education can improve mental health, self-efficacy and insights into mental illness in Chinese first-onset mentally ill patients. A future multi-center controlled trial of this nurse-led intervention is recommended.
为缩短精神科治疗的等待时间，由护士主导的服务可能有助于为近期首次发病的精神疾病患者提供一线心理健康咨询和干预。
本研究评估了一项由护士主导、基于需求的六节心理教育课程对香港一家门诊新转诊的有心理健康问题的中国患者的有效性，并与常规门诊护理进行比较。
采用前后测、对照组设计的随机对照试验。79名患者被随机分配到护士主导的心理教育课程组（N = 39）或常规精神科门诊护理组（N = 40）。在招募时和干预后2周测量了多个患者结局指标和服务利用情况。
多变量方差分析结果表明，心理教育组在测试后在心理和整体健康状况、对治疗和疾病的认识以及住院率方面有显著更大的改善。
研究结果表明，由护士主导、基于需求的心理教育可以改善中国首次发病的精神疾病患者的心理健康、自我效能感和对精神疾病的认识。建议未来对这种由护士主导的干预措施进行多中心对照试验。
