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Does training practice nurses to carry out physical health checks for people with severe mental illness increase the level of screening for cardiovascular risk?

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  • Sheila Hardy
  • Philippa Hinks
  • Richard Gray

Abstract

Background: Compared to the general population, people with severe mental illness (SMI) have a higher risk of developing cardiovascular disease (CVD). Authors of clinical guidelines advise annual screening for CVD risk factors with appropriate lifestyle counselling. There are seven recommended elements of this health check: blood pressure, body mass index (or waist circumference), blood glucose, serum cholesterol, diet advice, exercise recommendations and smoking cessation guidance. Aim: To establish whether training practice nurses increases the proportion of patients with SMI who are screened for CVD risk factors and given lifestyle advice in primary care. Method: A before-and-after audit of 400 patients on the SMI registers in five primary care centres in Northampton, England. Results: Following the training, the proportion of patients with SMI who received all elements of the health check significantly increased (pre-training: n = 33, 8%, 95% CI = 6–11; post-training: n = 60, 15%, 95% CI = 12–19; RR = 1.82, 95% CI = 1.22–2.72, p = .01). Conclusion: Training practice nurses about CVD prevention in people with SMI may be effective in increasing the proportion of patients in this group who receive a comprehensive health check.

Suggested Citation

  • Sheila Hardy & Philippa Hinks & Richard Gray, 2014. "Does training practice nurses to carry out physical health checks for people with severe mental illness increase the level of screening for cardiovascular risk?," International Journal of Social Psychiatry, , vol. 60(3), pages 236-242, May.
    • Handle: RePEc:sae:socpsy:v:60:y:2014:i:3:p:236-242
    DOI: 10.1177/0020764013483721
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    References listed on IDEAS

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    1. Sebastiaan T Houweling & Nanne Kleefstra & Kornelis JJ van Hateren & Klaas H Groenier & Betty Meyboom‐de Jong & Henk JG Bilo, 2011. "Can diabetes management be safely transferred to practice nurses in a primary care setting? A randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(9‐10), pages 1264-1272, May.
    2. Siobhan Reilly & Claire Planner & Mark Hann & David Reeves & Irwin Nazareth & Helen Lester, 2012. "The Role of Primary Care in Service Provision for People with Severe Mental Illness in the United Kingdom," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-10, May.
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    1. Nicolaas Martens & Marianne Destoop & Geert Dom, 2022. "Physical Healthcare, Health-Related Quality of Life and Global Functioning of Persons with a Severe Mental Illness in Belgian Long-Term Mental Health Assertive Outreach Teams: A Cross-Sectional Self-R," IJERPH, MDPI, vol. 19(9), pages 1-16, May.

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