Central Queensland University, Institute for Health and Social Science Research, Centre for Mental Health Nursing Innovation, School of Nursing and Midwifery, Central Queensland University, Rockhampton, QLD 4702, Australia.
Int J Ment Health Nurs. 2013 Oct;22(5):418-29. doi: 10.1111/j.1447-0349.2012.00892.x. Epub 2012 Dec 5.
People with serious mental illness (SMI) die prematurely from common physical illnesses such as cardiovascular disease and diabetes. These cardiometabolic risks are preventable and manageable yet these aspects of health care have been neglected in mental health services. A potential nurse-based strategy to decisively improve cardiometabolic health of people with SMI is to introduce a cardiometabolic health nurse (CHN) into mental health services. The current study aimed to establish the views of nurses working in mental health care on the potential benefits and limits of CHN to improve physical health-care standards in Australia. All members of the Australian College of Mental Health Nurses were invited to participate in an online survey and 643 participated. Nurses generally agreed that a CHN role would provide a range of improvements to physical health care, such as increased detection, assessment on, and follow up of cardiometabolic risks, and decreased workload for other nurses. While participants were generally supportive of such a role, they felt it would not be suitable in all health-care settings in Australia.
患有严重精神疾病(SMI)的人会因心血管疾病和糖尿病等常见的身体疾病而过早死亡。这些心血管代谢风险是可以预防和控制的,但精神卫生服务却忽视了这些方面的医疗保健。在精神卫生服务中引入一名心血管代谢健康护士(CHN),可能是改善 SMI 患者心血管代谢健康的一项决定性策略。本研究旨在了解澳大利亚精神卫生保健护士对 CHN 的潜在益处和局限性的看法,以提高澳大利亚的身体健康护理标准。邀请了澳大利亚心理健康护士学院的所有成员参加在线调查,共有 643 人参与。护士普遍认为,CHN 的角色将为身体健康护理提供一系列的改进,例如增加对心血管代谢风险的检测、评估和随访,以及减轻其他护士的工作量。尽管参与者普遍支持这一角色,但他们认为在澳大利亚的所有医疗保健环境中都不适合。