• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>BMJ Open Quality >Health Education and Activity – Lessening The Inequalities in mental health (HEA – LTI mental health)
【2h】

Health Education and Activity – Lessening The Inequalities in mental health (HEA – LTI mental health)

机译：健康教育和活动–减轻心理健康方面的不平等（HEA – LTI心理健康）

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Patients suffering from mental health illness have considerably more physical health disease burden than the rest of the population and are more likely to die 10 to 20 years younger compared with their peers. Diabetes, cardiovascular and respiratory disease have been recognised as contributing factors to premature death. Furthermore patients with severe mental illness undertake lower levels of physical activity.The aim of the project was therefore to address the inequalities in physical health that affect patients with mental health illness through designing and implementing a sustainable, transferable, patient-centred education and activity intervention.The objective of the project was to increase patient motivation to change behaviour as a result of physical health interventions by increasing patients' physical health understanding, motivation to change their physical health behaviour, motivation to do exercise and by reducing their anxiety.The method used was a prospective cohort study in four eighteen bed psychosis inpatient units. The units were across two large London hospitals in one Hospital Trust involving male and female inpatients with a range of mental health issues.The intervention was comprised of two components. The first component was a weekly 45 minute teaching group designed in collaboration with patients focusing on the key domains that affect the physical health of mental health patients. Four discussion domains (heart health, diabetes and weight, smoking and lung disease, cancer screening and substance misuse) were undertaken, with each cycle lasting four weeks. The second component was a weekly 45 minute exercise group (‘normalisation activity’) in collaboration with patients and the multidisciplinary team.The intervention was evaluated at the end of each cycle and four cycles in total took place.Weekly pre and post intervention measures were undertaken comprising of a self reported change in understanding, motivation to change physical health behaviours, confidence to change, anxiety and motivation to exercise.The result was a 26% improvement in self-reported understanding across the four domains following teaching. Furthermore patient anxiety reduced by on average 35%, self-reported motivation to change increased by 20%, motivation to do exercise by 26% and confidence to change by 16% as a result of the intervention.The authors conclude that a collaborative approach to education and activity between the Multidisciplinary Team (MDT) and service user results in sustained improvement in understanding of physical health, motivation to change behaviour and to do exercise. It also results in improved confidence and reduced anxiety.
机译：与其他人群相比，患有精神疾病的患者的身体健康疾病负担要大得多，并且比同龄人更容易死亡10至20岁。糖尿病，心血管和呼吸系统疾病已被认为是导致过早死亡的因素。此外，患有严重精神疾病的患者从事的体育活动水平较低，因此，该项目的目的是通过设计和实施以患者为中心的可持续，可转移，以患者为中心的教育措施来解决影响精神疾病患者的身体健康不平等问题该项目的目标是通过增加患者对身体健康的了解，改变其身体健康行为的动机，进行锻炼的动机以及减轻其焦虑感，来增加患者因身体健康干预而改变行为的动力。是一项对四个18床精神病住院患者进行的前瞻性队列研究。这些单位横跨伦敦的两家大型医院，位于一家医院信托基金中，涉及患有各种精神健康问题的男女住院患者，干预措施包括两个部分。第一部分是与患者合作设计的每周45分钟的教学小组，重点关注影响心理健康患者身体健康的关键领域。进行了四个讨论领域（心脏健康，糖尿病和体重，吸烟和肺部疾病，癌症筛查和药物滥用），每个讨论周期持续四个星期。第二部分是与患者和多学科团队合作的每周45分钟运动组（``正常化活动''），在每个周期结束时对干预进行评估，总共进行了四个周期。包括自我报告的理解改变，改变身体健康行为的动机，改变的信心，焦虑和锻炼的动机。结果是，在教学后，这四个领域的自我报告的理解提高了26％。此外，由于干预，患者的焦虑症平均减少了35％，自我报告的改变动机增加了20％，锻炼的动机增加了26％，改变的信心增加了16％。多学科团队（MDT）和服务使用者之间的教育和活动导致对身体健康的理解，改变行为和锻炼的动机得到了持续改善。它还可以提高信心，减少焦虑。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号