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首页> 外文期刊>Nordic journal of psychiatry. >Intervention to promote physical health in staff within mental health facilities and the impact on patients' physical health
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Intervention to promote physical health in staff within mental health facilities and the impact on patients' physical health

机译：干预措施以促进精神卫生机构员工的身体健康及其对患者身体健康的影响

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Background: Patients with severe mental illnesses have an increased physical morbidity and premature mortality on account of somatic diseases. Patients with mental illness are nursed and cared for by the staff, who may acts as role models for the patients. Aims: The study tested the efficacy of an intervention programme for improving physical health in staff working in long-term psychiatric treatment facilities. Furthermore, the paper measured the association between staff's changes in physical health and the patients' changes in physical health. Methods: The study was a cluster randomized controlled 12-month intervention study, and the intervention was active awareness on physical health. Results: In the intervention group the staff reduced their waist circumference by 2.3 cm (95% CI: 0.3-4.4) when controlling for gender, age and cigarette consumption. In the control group, the staff changed their waist circumference by - 2.1 cm (95% CI: - 5.6-1.5). The staff in the intervention group experienced a significant reduction in diastolic blood pressure of - 5.9 mmHg (95% CI: - 9.5 to - 2.3, p = 0.009). The study indicated an association between the staff average change in each facility and the individual patient's changes in health parameters (body mass index, total body fat and quality of life). Conclusion: The staff in the intervention group showed a significant reduction of waist circumference, while staff in the control group showed a non-significant increase. Furthermore, a significant reduction in the diastolic blood pressure was seen. Indications that staff acted as positive role models for the patients' physical health were seen.
机译：背景：患有严重精神疾病的患者由于躯体疾病而导致身体发病率和过早死亡的增加。患有精神疾病的患者由工作人员进行护理和照顾，这些工作人员可以成为患者的榜样。目的：该研究测试了一项干预计划对改善长期精神病治疗机构工作人员身体健康的功效。此外，本文还测量了员工身体健康变化与患者身体健康变化之间的关联。方法：该研究是一项为期12个月的随机分组对照干预研究，该干预是对身体健康的积极认识。结果：在干预组中，当控制性别，年龄和吸烟量时，工作人员的腰围减小了2.3厘米（95％CI：0.3-4.4）。在对照组中，工作人员的腰围改变了-2.1厘米（95％CI：-5.6-1.5）。干预组的人员舒张压显着降低了-5.9 mmHg（95％CI：-9.5至-2.3，p = 0.009）。研究表明，每个机构的工作人员平均变化与每个患者的健康参数（体重指数，总脂肪和生活质量）的变化之间存在关联。结论：干预组的工作人员的腰围明显减少，而对照组的工作人员的腰围没有明显增加。此外，观察到舒张压显着降低。有人指出工作人员充当了患者身体健康的积极榜样。

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