St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada.
McMaster University, Hamilton, ON, Canada.
J Psychiatr Ment Health Nurs. 2020 Dec;27(6):709-717. doi: 10.1111/jpm.12629. Epub 2020 Apr 1.
WHAT IS KNOWN ON THE SUBJECT?: Compared to the general population, people with mental illness die several years prematurely. The prevalence of chronic physical illnesses such as diabetes and cardiovascular disease is higher in people with mental health illnesses, putting them at increased risk of developing skin wounds. The majority of the studies on wound care education and management were carried out in acute care and long-term care settings. A very few addressed the wound care needs for psychiatric patients and the educational needs of nurses in the mental health setting. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This study adds to the existing evidence by offering an evidence-based solution to equip Psychiatric and Mental Health Nurses (PMHNs) with the necessary knowledge and skills to provide high-quality wound care to patients. When a lack of wound care competency has been identified, it may be worth the effort to provide education and training to psychiatric nurses on wound care management. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This project has the potential benefit of healthcare cost savings, which can be further investigated in a future study, for instance, a pilot randomized controlled trial to estimate the parameters for a full-trial and cost-effectiveness study. Future mental health nursing practice and research need to focus on finding solutions to help support PMHNs improve their competence in caring for physical illnesses. ABSTRACT: Introduction People with mental illnesses are at increased risk of developing skin wounds. A very few studies addressed the wound care needs for psychiatric patients and the educational needs for psychiatric and mental health nurses (PMHNs). Aim A wound care education-feasibility and quality improvement project-was implemented to improve wound care competence among nurses on the Seniors' Mental Health Units at a psychiatric hospital. Methods A total of 36 nurses participated in wound care knowledge education and completed both the pretest and post-test. Four nurses participated in wound care skills training. Results The post-intervention mean score increase for wound care knowledge was 5.14 (178%) and for skills was 7(75.7%). The results were statistically significant (p < .001). Discussion This study adds to the existing evidence by offering an evidence-based solution to equip PMHNs with the necessary knowledge and skills to provide high-quality wound care to patients. Implications for Practice and Research Future mental health nursing practice and research need to focus on finding evidence-based practical solutions to help support PMHNs improve their ability to care for physical illnesses. A future pilot randomized controlled trial will be needed to estimate the parameters for a full-trial and cost-effectiveness study.
与一般人群相比，患有精神疾病的人会早逝数年。患有心理健康疾病的人患慢性身体疾病（如糖尿病和心血管疾病）的患病率较高，因此他们更容易出现皮肤伤口。大多数关于伤口护理教育和管理的研究都是在急性护理和长期护理环境中进行的。很少有研究涉及精神科患者的伤口护理需求以及精神卫生环境中护士的教育需求。本研究的新增内容：本研究通过提供循证解决方案，为精神科和心理健康护士（PMHNs）提供必要的知识和技能，为患者提供高质量的伤口护理，从而为现有证据增添了新内容。当确定缺乏伤口护理能力时，为精神科护士提供伤口护理管理方面的教育和培训可能是值得的。这对实践有何影响：本项目有可能节省医疗保健成本，这可以在未来的研究中进一步调查，例如，进行试点随机对照试验，以估计全面试验和成本效益研究的参数。未来的精神科护理实践和研究需要专注于寻找解决方案，以帮助支持 PMHN 提高他们照顾身体疾病的能力。摘要：介绍患有精神疾病的人皮肤伤口的风险增加。很少有研究涉及精神科患者的伤口护理需求以及精神科和心理健康护士（PMHNs）的教育需求。目的：实施伤口护理教育——可行性和质量改进项目——以提高精神病院老年人心理健康病房护士的伤口护理能力。方法：共有 36 名护士参加了伤口护理知识教育，并完成了前测和后测。4 名护士参加了伤口护理技能培训。结果：干预后伤口护理知识的平均得分提高了 5.14（178%），技能提高了 7（75.7%）。结果具有统计学意义（p<.001）。讨论：本研究通过提供循证解决方案，为 PMHN 提供必要的知识和技能，为患者提供高质量的伤口护理，从而为现有证据增添了新内容。对实践和研究的影响：未来的精神科护理实践和研究需要专注于寻找基于证据的实用解决方案，以帮助支持 PMHN 提高他们照顾身体疾病的能力。未来需要进行试点随机对照试验，以估计全面试验和成本效益研究的参数。
