审视英国改善精神病患者身体健康的国家倡议的效果：对精神病国家临床审计数据的二次分析
Examining the effects of national initiatives to improve the physical health of people with psychosis in England: secondary analysis of data from the National Clinical Audit of Psychosis.
作者信息
Williams Ryan, Natkulasingam Sagana, Tooke Beatrice, Webster Ella, Quirk Alan, Gupta Veenu, French Paul, Smith Jo, Crawford Mike J
机构信息
Royal College of Psychiatrists, UK.
Imperial College London, UK.
出版信息
BJPsych Bull. 2022 Jun;46(3):140-147. doi: 10.1192/bjb.2021.38.
AIMS AND METHODS
To examine whether national initiatives have led to improvements in the physical health of people with psychosis. Secondary analysis of a national audit of services for people with psychosis. Proportions of patients in 'good health' according to seven measures, and one composite measure derived from national standards, were compared between multiple rounds of data collection.
RESULTS
The proportion of patients in overall 'good health' under the care of 'Early Intervention in Psychosis' teams increased from 2014-2019, particularly for measures of smoking, alcohol and substance use. There was no overall change in the proportion of patients in overall 'good health' under the care of 'Community Mental Health Teams' from 2011-2017. However, there were improvements in alcohol use, blood glucose and lipid levels.
CLINICAL IMPLICATIONS
There have been modest improvements in the health of people with psychosis over the last nine years. Continuing efforts are required to translate these improvements into reductions in premature mortality.
目的与方法
研究国家层面的举措是否已使精神病患者的身体健康状况得到改善。对一项针对精神病患者服务的全国性审计进行二次分析。在多轮数据收集过程中，比较了依据七种衡量标准以及一项源自国家标准的综合衡量标准得出的“健康状况良好”患者的比例。
结果
在“精神病早期干预”团队护理下，总体“健康状况良好”的患者比例在2014年至2019年间有所上升，尤其是在吸烟、饮酒及物质使用方面的衡量标准上。在2011年至2017年间，“社区精神卫生团队”护理下总体“健康状况良好”的患者比例没有总体变化。然而，在饮酒、血糖和血脂水平方面有改善。
临床意义
在过去九年里，精神病患者的健康状况有一定程度的改善。需要持续努力将这些改善转化为过早死亡率的降低。
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