ABSTRACT
INTRODUCTION: Very few collaborative nursing care interventions have been studied and shown to be effective in the context of the paradigm shift towards recovery in mental health nursing. Understanding the changes produced in the recovery process of people with mental health problems can contribute to the design and implementation of new methodologies to offer effective and person-centred care. METHODS AND ANALYSIS: This is a mixed-methods study, which is structured in three phases. In phase one (baseline) and phase three (follow-up), quantitative data will be collected from patients at a mental health day hospitals based on a two-armed, parallel-design, non-randomised trial. In phase two, two groups will be established: an intervention group in which the intervention based on collaborative nursing care will be carried out through the codesign and implementation of activities through Participatory Action Research, and a control group in which the usual care dynamics will be continued. All the users of three mental health day hospitals who agree to participate in the study will be studied consecutively until the necessary sample size is reached. The outcomes used to evaluate the impact of the intervention will be the stage of the recovery process, the quality of the therapeutic relationship and the patient's level of positive mental health. ETHICS AND DISSEMINATION: This study has been approved by the institutional review board of the reference hospital, FIDMAG Hermanas Hospitalarias (PR-2020-10) in July 2020. All participants will be able to voluntarily withdraw from the study at any time. For this reason, users will be given a sheet with all the precise information about the study to be carried out and written consent will be requested. Preliminary and final results will be published in peer-reviewed journals and presented at national and international congresses. TRIAL REGISTRATION NUMBER: NCT04814576.
Subject(s)
Mental Health , Research Design , Hospitals , HumansABSTRACT
OBJETIVO: evaluar la contribución de un programa fundamentado en el Proceso de Atención de Enfermería y dirigido a la mejora del estado nutricional de pacientes con trastorno mental hospitalizados. MÉTODO: estudio de intervención antes-después en pacientes ingresados en la unidad psiquiátrica de agudos, con malnutrición o riesgo, durante el primer cuatrimestre del año 2012. La variable dependiente principal fue el estado nutricional medido a través del Mini Nutritional Assessment (MNA); también fueron utilizados los indicadores para los objetivos NOC (Nursing Outcome Classification): apetito, estado nutricional, conducta de mantenimiento del peso, y autocuidados: comer. La intervención NIC (Nursing Intervention Classification) llevada a cabo fue «Manejo de la nutrición» para la mejora del estado nutricional. Para la comparación de las medias de las diferentes mediciones (MNA antes y después) se utilizó la t de Student para datos apareados. RESULTADOS: fueron estudiados 74 pacientes. Un 47,3% tenía trastornos del estado de ánimo, y el 43,2% esquizofrenia. Al alta de la unidad se encontraron diferencias estadísticamente significativas en todas las variables analizadas. La mejora del estado nutricional, según el cuestionario MNA, se produjo tanto en la escala A (diferencia de medias: -2,23; IC95%: -2,67, -1,79) como en la escala B (diferencia de medias: -1,54; IC 95%: -2,02, -1,05). CONCLUSIONES: la intervención de Enfermería NIC «Manejo de la nutrición», como eje del programa nutricional, ha contribuido a mejorar el estado nutricional de los pacientes hospitalizados, reflejado en la mejora de estado nutricional según el cuestionario MNA, en la disminución del grado de dependencia en alimentación y en la consecución de objetivos NOC relacionados
OBJECTIVE: to assess the potential contribution of a program based on the Nursing Care Process, targeted to the improvement of the nutritional status of hospitalized patients with mental disorders. METHOD: interventional before-after study, conducted on patients hospitalized in the Acute Psychiatric Unit, with malnutrition or at risk, during the first four months of 2012. The primary dependent variable was the nutritional status measured through the Mini Nutritional Assessment (MNA); the NOC (Nursing Outcome Classification) objective indicators were also used: appetite, nutritional status, weight maintenance behaviour, and self-care: eating. The NIC (Nursing Intervention Classification) intervention conducted was «Nutrition Management» for the improvement of nutritional status. For comparison of mean levels of the different measures (MNA before and after), Student's t test was used for paired data. RESULTS: seventy-four (74) patients were studied. A 47,3% had mood disorders, and 43,2% suffered schizophrenia. At discharge from the unit, statistically significant differences were found in all variables analyzed. The improvement in nutritional status, according to the MNA questionnaire, occurred both in Scale A (difference in mean values: -2,23; CI95%: -2,67, -1,79) and in Scale B (difference in mean values: -1,54; CI95%: -2,02, -1,05). CONCLUSIONS: the NIC Nursing Intervention «Management of Nutrition», as the core of the nutritional program, has contributed to improve the nutritional status of hospitalized patients, and this has been reflected in the improvement in nutritional status according to the MNA questionnaire, in the reduction of the level of dependence regarding diet, and in the achievement of associated NOC objectives
