Happell Brenda, Stanton Robert, Scott David
School of Nursing and Midwifery, Centre for Mental Health Nursing Innovation, Institute for Health and Social Science Research, Central Queensland University, Rockhampton, Queensland, Australia.
J Comorb. 2014 Jul 24;4:22-28. doi: 10.15256/joc.2014.4.36. eCollection 2014.
Comorbid chronic illnesses, such as cardiovascular disease, respiratory conditions, and type 2 diabetes are common among people with serious mental illness. Management of comorbid illness in the mental health setting is sometimes ad hoc and poorly delivered. Use of a cardiometabolic health nurse (CHN) is proposed as one strategy to improve the delivery of physical health care to this vulnerable population.
To report the CHN's utilization of primary care and allied health referrals from a trial carried out in a regional community mental health service.
Feasibility study. Mental health consumers were referred by their case manager or mental health nurse to the CHN. The CHN coordinated the physical health care of community-based mental health consumers by identifying the need for, and providing referrals to, additional services, including primary care, allied health, and community-based services.
Sixty-two percent of participants referred to the CHN received referrals for primary care, allied health, and community-based services. Almost all referrals received follow-up by the CHN. Referrals were most commonly directed to a general practitioner and for nurse-delivered services.
The CHN role shows promise in coordinating the physical health of community-based mental health consumers. More studies on role integration and development of specific outcome measurement tools are needed. Journal of Comorbidity 2014;4:22-28.
心血管疾病、呼吸系统疾病和2型糖尿病等慢性合并症在严重精神疾病患者中很常见。在精神卫生环境中，对合并症的管理有时是临时的，且实施效果不佳。有人提议使用心脏代谢健康护士（CHN）作为一种策略，以改善为这一弱势群体提供的身体健康护理。
报告在一个地区社区精神卫生服务机构开展的一项试验中，CHN对初级保健和联合健康转诊的利用情况。
可行性研究。心理健康消费者由其个案管理员或心理健康护士转介给CHN。CHN通过确定对包括初级保健、联合健康和社区服务在内的额外服务的需求并提供转诊，来协调社区心理健康消费者的身体健康护理。
转介给CHN的参与者中有62%获得了初级保健、联合健康和社区服务的转诊。几乎所有转诊都得到了CHN的跟进。转诊最常指向全科医生和护士提供的服务。
CHN的角色在协调社区心理健康消费者的身体健康方面显示出前景。需要对角色整合和特定结果测量工具的开发进行更多研究。《合并症杂志》2014年；4：22 - 28。
