Murat Merve, Kutlu Fatma Yasemin
Institute of Graduate Studies, İstanbul University-Cerrahpaşa, İstanbul, Türkiye.
Department of Mental Health and Psychiatric Nursing, İstanbul University-Cerrahpaşa, Florence Nightingale Faculty of Nursing, İstanbul, Turkey.
Florence Nightingale J Nurs. 2024 Jun 28;32(2):168-183. doi: 10.5152/FNJN.2024.23085.
This study aimed to adopt the use of the Health Improvement Profile in the Turkish context and to report the findings obtained during its pilot implementation. This descriptive cross-sectional study consisted of 280 individuals, and data were collected using the Patient and Disease Characteristics Form and the Health Improvement Profile between May and December 2019 ın community mental health centers. The total content validity index of the Health Improvement Profile (Female-Male) was 0.97. Among the participants, 57.1% had a physical health problem, 58.1% had a diagnosis of a physical condition, and 41.9% had physical symptoms only. Intergroup comparisons showed that individuals diagnosed with schizophrenia and other psychotic disorders slept for less than 3 hours, individuals diagnosed with bipolar disorder consumed more alcohol, and individuals diagnosed with major depressive disorders slept for more than 8 hours, smoked more, consumed more caffeine, and practiced safe sex less consistently than individuals diagnosed with other psychiatric disorders (p < .05). The Health Improvement Profile is an assessment tool that psychiatric mental health nurses can use to evaluate the physical health of individuals diagnosed with serious mental illness. The use of Health Improvement Profile in routine practice may allow determining the redflagged parameters and provide an opportunity improving these parameters with evidence-based interventions.
本研究旨在在土耳其背景下采用健康改善概况，并报告其试点实施期间获得的结果。这项描述性横断面研究由280名个体组成，于2019年5月至12月在社区心理健康中心使用患者和疾病特征表以及健康改善概况收集数据。健康改善概况（女性 - 男性）的总内容效度指数为0.97。在参与者中，57.1%有身体健康问题，58.1%被诊断患有身体疾病，41.9%仅有身体症状。组间比较显示，被诊断患有精神分裂症和其他精神障碍的个体睡眠时间少于3小时，被诊断患有双相情感障碍的个体饮酒量更多，被诊断患有重度抑郁症的个体睡眠时间超过8小时，吸烟更多，摄入更多咖啡因，并且与被诊断患有其他精神障碍的个体相比，安全性行为的坚持程度更低（p < .05）。健康改善概况是一种评估工具，精神科心理健康护士可用于评估被诊断患有严重精神疾病的个体的身体健康状况。在日常实践中使用健康改善概况可能有助于确定有警示信号的参数，并提供通过循证干预改善这些参数的机会。
