tailieunhanh - Báo cáo y học: " A well-being support program for patients with severe mental illness: a service evaluation"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A well-being support program for patients with severe mental illness: a service evaluation | Eldridge et al. BMC Psychiatry 2011 11 46 http 1471-244X 11 46 BMC Psychiatry RESEARCH ARTICLE Open Access A well-being support program for patients with severe mental illness a service evaluation Donna Eldridge1 Nicky Dawber1 Richard Gray2 Abstract Background The risk of cardiovascular disease is increased in patients with severe mental illness SMI dramatically reducing life expectancy. Method A real world pragmatic service evaluation of a Well-Being Support Program WSP was conducted. This was a four-session package delivered over a one-year period by mental health practitioners that had received additional training in providing physical health assessment and intervention. Patients physical health was screened and appropriate one-to-one and group intervention was offered. Results 212 mental health practitioners were trained in the WSP and 782 patients were enrolled on the program. The majority of our sample was overweight or obese 66 had a Body Mass Index BMI 25. Lifestyle risk factors for cardiovascular disease CVD were common and the patients had low selfesteem. The average number of formally recorded well-being sessions attended was . Just under a quarter of those patients enrolled in the program completed. The only cardiovascular risk factor that significantly altered in patients that completed the program was BMI. The qualitative feedback about the program was largely positive. Conclusions The need to intervene to enhance the physical health of people with SMI is beyond doubt. Maintaining patient engagement in a physical health improvement program is challenging. Regular comprehensive physical health monitoring is necessary to establish the benefit of intervention and increase life expectancy and well-being in this population. Background Life expectancy for people with severe mental illness SMI such as schizophrenia is reduced by at least 20 compared with the general population 1 2 . The major cause of death in this population is .

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