Northern Area Mental Health Service, The Northern Hospital, Epping, Melbourne, Victoria, Australia.
NorthWestern Mental Health, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Int J Ment Health Nurs. 2018 Feb;27(1):341-348. doi: 10.1111/inm.12327. Epub 2017 Mar 16.
Mental illness increases a person's risk of physical health issues, including cardiovascular disease, leading to premature morbidity and mortality. Screening for cardiovascular disease through metabolic monitoring is recommended to aid in early detection. The aim of the present study was to ascertain whether consumers admitted to an inpatient mental health unit receive routine metabolic monitoring, and to explore the contribution of a nurse practitioner to metabolic monitoring and the actioning of abnormal results. The present study used a retrospective mirror image cohort method to look at clinical consumer files for two separate 6-month periods before and after a nurse practitioner role commenced. Metabolic monitoring variables were computed as completion frequencies and percentages. Univariate analyses were computed to describe differences among metabolic monitoring variables. A total of 497 consumers were admitted to the mental health inpatient unit's intensive care area across the two 6-month data-collection periods. Prior to the nurse practitioner role, only 2% of consumers had their body mass index (BMI) risk calculated; less than 1% had their waist circumference measured, and no abnormal results were referred to a general practitioner (GP). After the nurse practitioner role commenced, BMI risk was calculated for 67% of consumers, waist circumference recorded for 68%, and referrals for abnormal results were forwarded to 37 consumers' GPs. A nurse practitioner on the inpatient mental health unit has allowed for a considerable increase in the metabolic screening of admitted consumers resulting in a number of referrals being forwarded to consumers' GPs to be acted upon.
精神疾病会增加一个人出现身体健康问题的风险，包括心血管疾病，导致发病和死亡率提前。建议通过代谢监测来筛查心血管疾病，以帮助早期发现。本研究旨在确定住院精神健康病房的患者是否接受常规代谢监测，以及探索护士从业者在代谢监测和异常结果处理中的作用。本研究使用回顾性镜像队列方法，查看了在护士从业者角色开始前后两个单独的 6 个月期间的临床患者档案。代谢监测变量计算为完成频率和百分比。使用单变量分析来描述代谢监测变量之间的差异。在两个 6 个月的数据收集期间，共有 497 名患者入住精神科住院患者重症监护区。在护士从业者角色开始之前，只有 2%的患者计算了其体重指数 (BMI) 风险；不到 1%的患者测量了腰围，并且没有将异常结果转介给全科医生 (GP)。在护士从业者角色开始后，67%的患者计算了 BMI 风险，68%的患者记录了腰围，将 37 名患者的异常结果转介给他们的 GP。住院精神健康病房的护士从业者允许对住院患者进行大量代谢筛查，从而将许多转介给患者的 GP 进行处理。
