Welsh Emily R, McEnany Geoffry Phillips
J Psychosoc Nurs Ment Health Serv. 2015 Feb;53(2):32-7. doi: 10.3928/02793695-20150120-01.
It is essential to recognize the relationship between mind and body when providing holistic, client-centered care. The need for an improved care delivery system is highlighted by the health inequity experienced by those with severe mental illness (SMI). Clinical guidelines on physical health monitoring for those with SMI are condition-specific and do not focus on prevention. Health status data on clients with SMI suggest that barriers exist to the delivery of holistic care. Clients with SMI may benefit from a collaborative care model, holistic approaches, and preventive health monitoring. The mental health advanced practice nurse is pivotal in providing quality care to limit the burden of disease and promote health. The following literature review describes models of care aimed at reducing the comorbidity of physical and mental illness in outpatient care settings.
在提供以客户为中心的整体护理时，认识到身心之间的关系至关重要。患有严重精神疾病（SMI）的人群所经历的健康不平等凸显了改善护理提供系统的必要性。针对SMI患者的身体健康监测临床指南是针对特定疾病的，并未侧重于预防。SMI患者的健康状况数据表明，提供整体护理存在障碍。SMI患者可能会从协作护理模式、整体方法和预防性健康监测中受益。心理健康高级实践护士在提供优质护理以减轻疾病负担和促进健康方面起着关键作用。以下文献综述描述了旨在降低门诊护理环境中身心疾病合并症的护理模式。
