Matete Relebohile P, Rathobei Libuseng M
Department of Nursing, Faculty of Health Sciences, National University of Lesotho, Maseru, Lesotho.
S Afr J Psychiatr. 2024 Apr 22;30:2219. doi: 10.4102/sajpsychiatry.v30i0.2219. eCollection 2024.
Severe mental illness is associated with higher physical health morbidities and reduced life expectancy, with an estimated 14.3% of global deaths attributed to mental disorders. Antipsychotic medications (APs) used in treatment contribute to physical health issues, including metabolic and cardiovascular effects.
The aim of this study was to assess nurses' practices regarding metabolic monitoring for patients prescribed antipsychotic medications at Mohlomi Hospital in Lesotho.
The study was conducted at Mohlomi Hospital, the primary psychiatric facility in Lesotho.
Using a cross-sectional design, 44 nurses from Mohlomi Hospital participated in the study. A structured questionnaire assessed nurses' metabolic monitoring practices.
Most of the respondents were female ( = 30, 75%), and minority were male ( = 10, 25%). The academic qualifications of respondents were distributed as follows: 40% (16) held a nursing assistant certificate and 22.5% (9) held an advanced nursing diploma, among others. The average age of all respondents was 39.05 (s.d. 8.9), with an average of 8 years of experience in psychiatry (s.d. 7.6). The overall rate of nurses' practices of metabolic monitoring for patients taking antipsychotic medications showed variability, with a mean score of 2.83 (s.d. 0.524). However, only 20% performed ECG tests, 22.5% measured blood pressure, 27.5% tested for glucose abnormalities and 17.5% conducted lipid profile testing.
Results revealed a significant gap in the practice of metabolic monitoring among nurses with various aspects of metabolic monitoring, not being adequately monitored.
The study's findings shall inform policy and guidelines for monitoring patients on antipsychotic medications while guiding future research.
严重精神疾病与更高的身体健康发病率及预期寿命缩短相关，据估计全球14.3%的死亡归因于精神障碍。治疗中使用的抗精神病药物会引发身体健康问题，包括代谢和心血管方面的影响。
本研究旨在评估莱索托莫洛米医院为开具抗精神病药物的患者进行代谢监测时护士的做法。
该研究在莱索托主要的精神病设施莫洛米医院开展。
采用横断面设计，莫洛米医院的44名护士参与了本研究。一份结构化问卷评估了护士的代谢监测做法。
大多数受访者为女性（n = 30，75%），少数为男性（n = 10，25%）。受访者的学历分布如下：40%（16人）持有护理助理证书，22.5%（9人）持有高级护理文凭等。所有受访者的平均年龄为39.05岁（标准差8.9），平均有8年精神病学工作经验（标准差7.6）。护士对服用抗精神病药物患者进行代谢监测做法的总体比例存在差异，平均得分为2.83（标准差0.524）。然而，仅20%的人进行心电图检查，22.5%的人测量血压，27.5%的人检测血糖异常，17.5%的人进行血脂检测。
结果显示护士在代谢监测做法上存在显著差距，代谢监测的各个方面均未得到充分监测。
该研究结果将为监测服用抗精神病药物患者的政策和指南提供信息，同时为未来研究提供指导。
