[精神科护士会从全科医生手中接管护理工作吗？]
[Do mental health nurses take over care from general practitioners?].
作者信息
Magnée T, de Beurs D P, de Bakker D H, Verhaak P F M
机构信息
*Dit onderzoek werd eerder gepubliceerd in BMJ Open (2016;6:e011579) met als titel 'Consultations in general practices with and without mental health nurses: an observational study from 2010 to 2014'. Afgedrukt met toestemming.
出版信息
Ned Tijdschr Geneeskd. 2016;160:D983.
OBJECTIVE
The objective of this study was to examine mental health care provided by general practitioners and by mental health nurses working in general practices.
DESIGN
Observational research.
METHOD
We analysed how many consultations with patients with mental health problems were recorded in Dutch general practices in the period 2010-2014. General practices with and without a mental health nurse were compared, and we investigated which patients were mainly treated by mental health nurses.
RESULTS
An increasing number of patients visited the GP for mental health problems in the period 2010-2014. GPs collaborating with a mental health nurse recorded a somewhat higher number of patients with mental health problems than GPs without a mental health nurse, but used as many consultations per patient. Mental health nurses mainly treat females, adult patients, and patients with common mental health problems.
CONCLUSION
Mental health nurses do not take over care from GPs, but provide additional mental health care to patients with mental health problems. Collaborating with a mental health nurse might increase GPs' alertness to record mental health problems.
目的
本研究的目的是调查全科医生以及在全科医疗中工作的精神科护士所提供的心理健康护理情况。
设计
观察性研究。
方法
我们分析了2010年至2014年期间荷兰全科医疗中记录的与心理健康问题患者的会诊次数。对配备和未配备精神科护士的全科医疗进行了比较，并调查了主要由精神科护士治疗的患者类型。
结果
2010年至2014年期间，因心理健康问题就诊于全科医生的患者数量不断增加。与精神科护士合作的全科医生记录的心理健康问题患者数量略高于未配备精神科护士的全科医生，但每位患者的会诊次数相同。精神科护士主要治疗女性、成年患者以及患有常见心理健康问题的患者。
结论
精神科护士并未从全科医生手中接管护理工作，而是为有心理健康问题的患者提供额外的心理健康护理。与精神科护士合作可能会提高全科医生记录心理健康问题的警觉性。
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