Department of Rural Health, University of South Australia, North Terrace, Adelaide, South Australia, 5000, Australia.
Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, Special Administrative Region of China.
Syst Rev. 2018 Jan 9;7(1):2. doi: 10.1186/s13643-017-0658-5.
Relapse in individuals with severe mental illness (SMI) is a frequent occurrence and can add considerably to the burden of disease. As such, relapse prevention is an essential therapeutic outcome for people with SMI. Mental health nurses (MHNs) are well placed to support individuals with SMI and to prevent relapse; notwithstanding, there has been no synthesis of the evidence to date to determine whether MHNs prevent relapse in this population.
Electronic databases will be systemically searched for observational studies and clinical trials that report the association between mental health nursing and the hospitalisation of persons living with an SMI. The search will be supplemented by reference checking and a search of the grey literature. The primary outcome of interest will be hospital admission rate. Screening of articles, data extraction and critical appraisal will be undertaken by two reviewers, independently, with a third reviewer consulted should disagreement occur between reviewers. The quality of studies will be assessed using the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool and the Cochrane Collaboration risk of bias tool. Depending on the number of studies and level of heterogeneity, the evidence may be synthesised using meta-analysis or narrative synthesis.
This review will explore for the first time the clinical potential of mental health nursing in preventing relapse in persons with SMI. The findings of this review will serve to inform future research and education in this area. The evidence may also help inform future policy, including decisions regarding future mental health workforce development and planning.
PROSPERO CRD42017058694 .
严重精神疾病（SMI）患者的复发是一种常见现象，会极大地加重疾病负担。因此，预防复发是 SMI 患者的重要治疗目标。精神科护士（Mental Health Nurse，MHN）非常适合为 SMI 患者提供支持和预防复发；尽管如此，迄今为止，尚无综合证据来确定 MHN 是否可以预防该人群的复发。
系统检索电子数据库中的观察性研究和临床试验，以报告心理健康护理与 SMI 患者住院之间的关联。将通过参考文献检查和灰色文献搜索对检索进行补充。主要关注的结果是住院率。文章筛选、数据提取和关键评估将由两名评审员独立进行，如果评审员之间存在分歧，则将咨询第三名评审员。使用风险偏倚评估工具（非随机干预研究的风险偏倚（ROBINS-I）工具和 Cochrane 协作风险偏倚工具）评估研究质量。根据研究数量和异质性水平，证据可能会使用荟萃分析或叙述性综合进行综合。
这是首次探索心理健康护理在预防 SMI 患者复发方面的临床潜力。该综述的结果将为该领域的未来研究和教育提供信息。该证据还可能有助于为未来的政策提供信息，包括关于未来精神卫生劳动力发展和规划的决策。
PROSPERO CRD42017058694。
