Rosenbaum Simon, Nijjar Sukh, Watkins Andrew, Garwood Natasha, Sherrington Catherine, Tiedemann Anne
The George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia; St John of God Health Care, Richmond Hospital, Sydney, New South Wales, Australia.
Int J Ment Health Nurs. 2014 Jun;23(3):252-6. doi: 10.1111/inm.12057. Epub 2014 Jan 3.
The aim of the present study was to: (i) document the prevalence of risk factors for non-communicable diseases among mental health consumers (inpatients) with various diagnoses; and (ii) audit the frequency of waist circumference (WC) documentation before and after an intervention that involved a single nurse-education session, and change in assessment-form design. The study was undertaken in a private psychiatric hospital in Sydney, Australia. Twenty-five nurses participated in the educational intervention. File audits were performed prior to intervention delivery (n = 60), and 3 months' (n = 60), and 9 months' (n = 60) post-intervention. Files were randomly selected, and demographic (age, diagnosis) and risk factor (WC, body mass index (BMI), smoking status, blood pressure) data were extracted. WC was higher in this cohort compared to published general population means, and only 19% of patients had a BMI within the healthy range. In total, 37% of patients smoked, while 31% were hypertensive. At baseline, none of the audited files reported WC, which increased to 35 of the 60 (58%) files audited at the 3-month follow up. At the 9-month follow up, 25 of the 60 (42%) files audited reported a WC. In the 120 post-intervention files audited, only two patients refused measurement. These results illustrate the poor physical health of inpatients, and suggest that nurse-assessed metabolic monitoring can be enhanced with minimal training.
（i）记录各类诊断的心理健康消费者（住院患者）中，非传染性疾病风险因素的流行情况；（ii）审核在一项涉及单次护士教育课程及评估表设计变更的干预措施前后，腰围（WC）记录的频率。该研究在澳大利亚悉尼的一家私立精神病医院进行。25名护士参与了教育干预。在干预实施前（n = 60）、干预后3个月（n = 60）和9个月（n = 60）进行了档案审核。随机选择档案，并提取人口统计学数据（年龄、诊断）和风险因素数据（腰围、体重指数（BMI）、吸烟状况、血压）。与已公布的一般人群均值相比，该队列的腰围更高，只有19%的患者BMI处于健康范围内。总共有37%的患者吸烟，31%的患者患有高血压。基线时，审核的档案中均未报告腰围，在3个月随访时，60份审核档案中有35份（58%）报告了腰围。在9个月随访时，60份审核档案中有25份（42%）报告了腰围。在审核的120份干预后档案中，只有两名患者拒绝测量。这些结果表明住院患者身体健康状况较差，并表明通过最少的培训即可加强护士评估的代谢监测。
