Nurses’ practice of metabolic monitoring for patients on antipsychotics in Lesotho

IF 1 4区医学 Q4 PSYCHIATRY

South African Journal of Psychiatry Pub Date : 2024-04-22 DOI:10.4102/sajpsychiatry.v30i0.2219

Relebohile P. Matete, L. Rathobei

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Abstract

Background: Severe mental illness is associated with higher physical health morbidities and reduced life expectancy, with an estimated 14.3% of global deaths attributed to mental disorders. Antipsychotic medications (APs) used in treatment contribute to physical health issues, including metabolic and cardiovascular effects.Aim: The aim of this study was to assess nurses’ practices regarding metabolic monitoring for patients prescribed antipsychotic medications at Mohlomi Hospital in Lesotho.Setting: The study was conducted at Mohlomi Hospital, the primary psychiatric facility in Lesotho.Methods: Using a cross-sectional design, 44 nurses from Mohlomi Hospital participated in the study. A structured questionnaire assessed nurses’ metabolic monitoring practices.Results: Most of the respondents were female (n = 30, 75%), and minority were male (n = 10, 25%). The academic qualifications of respondents were distributed as follows: 40% (16) held a nursing assistant certificate and 22.5% (9) held an advanced nursing diploma, among others. The average age of all respondents was 39.05 (s.d. 8.9), with an average of 8 years of experience in psychiatry (s.d. 7.6). The overall rate of nurses’ practices of metabolic monitoring for patients taking antipsychotic medications showed variability, with a mean score of 2.83 (s.d. 0.524). However, only 20% performed ECG tests, 22.5% measured blood pressure, 27.5% tested for glucose abnormalities and 17.5% conducted lipid profile testing.Conclusion: Results revealed a significant gap in the practice of metabolic monitoring among nurses with various aspects of metabolic monitoring, not being adequately monitored.Contribution: The study’s findings shall inform policy and guidelines for monitoring patients on antipsychotic medications while guiding future research.

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莱索托护士对服用抗精神病药物的患者进行代谢监测的做法

背景：严重的精神疾病与较高的身体健康发病率和预期寿命缩短有关，据估计，全球14.3%的死亡归因于精神障碍。研究目的：本研究旨在评估莱索托莫赫罗米医院护士在对处方抗精神病药物的患者进行代谢监测方面的做法：研究在莱索托的主要精神病院莫赫罗米医院进行：44名来自莫赫罗米医院的护士参与了研究。一份结构化问卷对护士的代谢监测实践进行了评估：大多数受访者为女性（30 人，占 75%），少数为男性（10 人，占 25%）。受访者的学历分布如下：40%（16 人）持有护理助理证书，22.5%（9 人）持有高级护理文凭等。所有受访者的平均年龄为 39.05 岁（标准差为 8.9），平均从事精神科工作 8 年（标准差为 7.6）。护士对服用抗精神病药物的患者进行代谢监测的总体比例存在差异，平均得分为 2.83（标准差为 0.524）。然而，只有 20% 的护士进行了心电图检测，22.5% 的护士测量了血压，27.5% 的护士检测了血糖异常，17.5% 的护士进行了血脂检测：结果表明，护士在代谢监测方面的实践存在很大差距，代谢监测的各个方面都没有得到充分监测：贡献：研究结果将为监测服用抗精神病药物患者的政策和指南提供参考，同时为今后的研究提供指导。

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来源期刊

South African Journal of Psychiatry 医学-精神病学

CiteScore

1.60

自引率

10.00%

发文量

审稿时长

>12 weeks

期刊介绍： The journal is the leading psychiatric journal of Africa. It provides open-access scholarly reading for psychiatrists, clinical psychologists and all with an interest in mental health. It carries empirical and conceptual research articles, reviews, editorials, and scientific letters related to psychiatry. It publishes work from various places in the world, and makes special provision for the interests of Africa. It seeks to serve its readership and researchers with the most topical content in psychiatry for clinical practice and academic pursuits, including work in the subspecialty areas of psychiatry.