Human Development Center, Duluth, Minnesota, USA.
Perspect Psychiatr Care. 2013 Jul;49(3):179-86. doi: 10.1111/j.1744-6163.2012.00348.x. Epub 2012 Jul 13.
Increased mortality among the seriously mentally ill is largely due to cardiovascular disease (CVD). This applied research project examined a process of CVD screening at a community mental health center, then implemented and evaluated an improved process of identifying and managing CVD risk factors.
Patient records (n = 130) were reviewed at baseline and 6 months posteducational intervention and implementation of new monitoring tools.
Statistical analysis showed significant process improvement (p < .001).
Advanced practice registered nurses can design and implement improved CVD screening to mitigate morbidity and mortality in the seriously mentally ill.
严重精神疾病患者的死亡率升高主要归因于心血管疾病（CVD）。本应用研究项目对社区精神卫生中心的 CVD 筛查流程进行了检验，随后实施并评估了一种识别和管理 CVD 风险因素的改进流程。
在教育干预和新监测工具实施后的 6 个月，对患者记录（n = 130）进行了回顾。
统计分析显示流程有显著改进（p <.001）。
注册护士可设计并实施改进后的 CVD 筛查，以降低严重精神疾病患者的发病率和死亡率。
