Metabolic Syndrome Screening in People With Severe Mental Illness: Results From Two Spanish Community Mental Health Centers.

BACKGROUND: The excess of mortality in people with severe mental illness is due to unnatural causes such as accidents or suicides and natural causes such as metabolic syndrome. The presence of modifiable risk factors like tobacco consumption increases cardiovascular and metabolic risk. AIMS: The purpose of this study was to identify the prevalence of metabolic syndrome and other cardiovascular risk factors in people with severe mental illness. This study also aimed to identify the prevalence of patients receiving treatment for any metabolic syndrome risk factor. METHOD: A cross-sectional descriptive study was performed. A total of 125 participants from two community mental health centers in Spain were recruited. RESULTS: More than half of the participants (58.4%) were active smokers. The prevalence of metabolic syndrome was 60%. A total of 16.8% received previous treatment for hypertension, 17.6% for hypertriglyceridemia, and 11.2% for diabetes. No differences were found between centers (22.7% vs. 18.7%, p = .9). CONCLUSIONS: The findings underscore the importance of monitoring the physical health of patients on antipsychotic therapy. The identification and management of cardiovascular and metabolic risks factors is an essential part of nursing care for people with severe mental illness. Mental health nurses are ideally positioned to carry out this task by performing physical health screening, health education, and lifestyle interventions.

Effectiveness of a community-based nurse-led lifestyle-modification intervention for people with serious mental illness and metabolic syndrome.

The development of metabolic syndrome negatively affects the quality of life of people with serious mental illness. Experts agree on the need to evaluate the physical health of patients and intervene in modifiable risk factors, with emphasis on the promotion of healthy lifestyles. Interventions should include nutritional counselling and physical activity. This 24-week randomized trial evaluated the effects of a community-based nurse-led lifestyle-modification intervention in people with serious mental illness meeting metabolic syndrome criteria, and its impact on health-related quality of life and physical activity. Sixty-one participants from two community mental health centres were randomly assigned to the intervention or control group. The intervention consisted of weekly group sessions, with 20 min of theoretical content and 60 min of nurse-led physical activity. Postintervention results between groups showed no differences in weight, waist circumference, fasting glucose, and systolic blood pressure. Differences in body mass index, triglyceride concentrations, and diastolic blood pressure were found to be significant (P = 0.010, P = 0.038, and P = 0.017). Participants who performed the intervention reported an increase in physical activity, which did not occur in the control group (P = 0.035), and also reported better health status (P < 0.001). Our intervention showed positive effects reducing participants' cardiovascular and metabolic risks and improving their physical activity and quality of life. To our knowledge, this is the first clinical trial led and carried out by mental health nurses in community mental health centres which takes into account the effects of a lifestyle intervention on every metabolic syndrome criterion, health-related quality of life, and physical activity.

Caso clínico de una paciente diagnosticada de trastorno bipolar desde la visión del proceso enfermero / Case report of a patient diagnosed with bipolar disorder from the perspective of the nursing process

La aplicación del método científico en la práctica asistencial llevada a cabo por las enfermeras, se realiza a través del proceso enfermero. Por ese motivo, el propósito de esta nota clínica consiste en destacar, en qué consiste este proceso enfermero, exponiendo el caso clínico de una paciente afectada de Trastorno Mental Grave. Del mismo modo, se destaca la importancia de la adopción de un modelo de cuidados, por lo que nosotros utilizaremos el Modelo de Vida de Nancy Roper, obteniendo de esta manera cuidados enfermeros de calidad (AU)

The application of the scientific method in clinical practice carried out by nurses is done through the Nursing Process. For this reason, the aim of this report is to highlight what NP means, and then, we are going to proceed with a brief explanation of this referred process, exposing, at the same time, the clinical case of a patient affected by severe mental disorder. Similarly, we must remark the importance of adopting a model of care, using the Pattern of Life by Nancy Roper, since this way, we can get to achieve quality nursing care (AU)

Programa de fomento de ejercicio físico para disminuir la ansiedad en pacientes psiquiátricos / No disponible

La ansiedad es un estado del organismo que todos hemos experimentado infinidad de veces ante muchas y variadas situaciones (antes de un examen, en una entrevista de trabajo, cuando esperamos resultados médicos...). Las sensaciones que produce son en general desagradables y aunque causen malestar, tienen muchas veces una función adaptativa. Cuando los niveles de ansiedad y su duración son excesivos pueden convertirse en trastorno y debilitar, e incluso incapacitar, a la persona que los padece1.A lo largo de mis rotaciones asistenciales dentro de la Especialidad de Enfermería de Salud Mental he podido percibir como los pacientes con patología psiquiátrica acusaban elevados niveles de ansiedad y como ésta les incapacitaba, e incluso cómo les impedía realizar de una manera habitual las actividades de la vida diaria.De esta observación surge la idea de mi proyecto, desarrollar un programa para prevenir, o bien reducir el nivel de ansiedad en pacientes psiquiátricos.Para realizar el programa, me he basado en una de las principales taxonomías, que forman parte de la estandarización de cuidados, internacionalmente reconocida: La Clasificación de Intervenciones de Enfermería (NIC) tomando como referencia la siguiente intervención:0200 Fomento del ejercicio2A partir de esta intervención, aplicando las actividades que ésta incluye pretendo disminuir el nivel de ansiedad en pacientes psiquiátricos aprovechando los beneficios para la salud de la práctica de un ejercicio físico regular (AU)

No disponible