Girard Ariane, Hudon Catherine, Poitras Marie-Eve, Roberge Pasquale, Chouinard Maud-Christine
Faculté de médecine et des sciences de la santé, Université de Sherbrooke, QC, Canada.
Faculté de médecine et de sciences de la santé, Université de Sherbrooke, Sherbrooke, QC, Canada.
J Clin Nurs. 2017 May;26(9-10):1385-1394. doi: 10.1111/jocn.13695. Epub 2017 Feb 23.
To describe nursing activities in primary care with patients affected by physical chronic disease and common mental disorders.
Patients in primary care who are affected by physical chronic disease and common mental disorders such as anxiety and depression require care and follow-up based on their physical and mental health condition. Primary care nurses are increasingly expected to contribute to the care and follow-up of this growing clientele. However, little is known about the actual activities carried out by primary care nurses in providing this service in the Province of Quebec (Canada).
A qualitative descriptive study was conducted. Data were obtained through semistructured individual interviews with 13 nurses practising among patients with physical chronic disease in seven Family Medicine Groups in Quebec (Canada).
Participants described five activity domains: assessment of physical and mental health condition, care planning, interprofessional collaboration, therapeutic relationship and health promotion.
The full potential of primary care nurses is not always exploited, and some activities could be improved. Evidence for including nurses in collaborative care for patients affected by physical chronic disease and common mental disorders has been shown but is not fully implemented in Family Medicine Groups. Future research should emphasise collaboration among mental health professionals, primary care nurses and family physicians in the care of patients with physical chronic disease and common mental disorders.
Primary care nurses would benefit from gaining more knowledge about common mental disorders and from identifying the resources they need to contribute to managing them in an interdisciplinary team.
描述在初级保健中针对患有慢性身体疾病和常见精神障碍患者的护理活动。
在初级保健中，患有慢性身体疾病以及焦虑和抑郁等常见精神障碍的患者需要根据其身心健康状况接受护理和随访。人们越来越期望初级保健护士为这一不断增加的患者群体的护理和随访工作做出贡献。然而，对于加拿大魁北克省初级保健护士在提供此项服务时实际开展的活动却知之甚少。
开展了一项定性描述性研究。通过对加拿大魁北克省七个家庭医疗团队中为患有慢性身体疾病的患者提供护理的13名护士进行半结构化个人访谈来获取数据。
参与者描述了五个活动领域：身心健康状况评估、护理计划、跨专业协作、治疗关系和健康促进。
初级保健护士的全部潜力并未总是得到充分发挥，一些活动有待改进。已有证据表明应让护士参与到患有慢性身体疾病和常见精神障碍患者的协作护理中，但在家庭医疗团队中尚未得到充分实施。未来的研究应强调心理健康专业人员、初级保健护士和家庭医生在护理患有慢性身体疾病和常见精神障碍患者方面的协作。
初级保健护士将受益于更多地了解常见精神障碍，并确定他们在跨学科团队中为管理这些疾病所需的资源。
