Abdallah Nihad, Conn Rory, Latif Marini Abdel
Barnet, Enfield and Haringey Mental Health Trust, London, UK.
BMJ Qual Improv Rep. 2016 Jul 29;5(1). doi: 10.1136/bmjquality.u210300.w4189. eCollection 2016.
Physical health monitoring is an integral part of caring for patients with mental health problems. It is proven that serious physical health problems are more common among patients with severe mental health illness (SMI), this monitoring can be challenging and there is a need for improvement. The project aimed at improving the physical health monitoring among patients with SMI who are receiving antipsychotic medications. The improvement process focused on ensuring there is a good communication with general practitioners (GPs) as well as patient's education and education of care home staff. GP letters requesting physical health monitoring were updated; care home staff and patients were given more information about the value of regular physical health monitoring. There was an improvement in patients' engagement with the monitoring and the monitoring done by GPs was more adherent to local and national guidelines and was communicated with the mental health service.
身体健康监测是照顾有心理健康问题患者的一个组成部分。事实证明，严重身体健康问题在患有严重精神疾病（SMI）的患者中更为常见，这种监测可能具有挑战性，并且有改进的必要。该项目旨在改善正在接受抗精神病药物治疗的SMI患者的身体健康监测。改进过程侧重于确保与全科医生（GP）进行良好沟通，以及对患者和护理院工作人员进行教育。要求进行身体健康监测的GP信件得到了更新；护理院工作人员和患者获得了更多关于定期身体健康监测价值的信息。患者对监测的参与度有所提高，并且GP进行的监测更符合当地和国家指南，并与心理健康服务机构进行了沟通。
