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Mental disturbances and perceived complexity of nursing care in medical inpatients: results from a European study

dc.contributor.authorJonge, P
dc.contributor.authorZomerdijk, M
dc.contributor.authorHuyse, F
dc.contributor.authorFink, P
dc.contributor.authorHerzog, T
dc.contributor.authorLobo, A
dc.contributor.authorSlaetz, J
dc.contributor.authorHarolt, V
dc.contributor.authorBalogh, N
dc.contributor.authorCardoso, G
dc.contributor.authorRigatelli, M
dc.date.accessioned2012-08-08T13:47:30Z
dc.date.available2012-08-08T13:47:30Z
dc.date.issued2001
dc.description.abstractAIMS AND OBJECTIVES: The relationship between mental disturbances - anxiety and depression, somatization and alcohol abuse - on admission to internal medicine units and perceived complexity of care as indicated by the nurse at discharge was studied. The goal was to study the utility of short screeners for mental disturbances to select patients for case-management on admission. DESIGN: The study had a cohort design: patients were included on admission and followed through their hospital stay until discharge. The study was conducted within the framework of the European Biomed 1 Risk Factor study. RESEARCH METHODS AND INSTRUMENTS: In the first 3 days of admission the patients were interviewed by a trained health care professional, who scored the SCL-8D, a somatization questionnaire based on the Whiteley-7 and the CAGE. At discharge, nurses rated the complexity of the patient's care. RESULTS: Patients with high scores on anxiety and depression (SCL-8D) and on somatization received higher ratings on perceived nursing complexity than those with low scores, with and without control for age, severity of illness and chronicity. The actual nursing intensity and medical care utilization, as measured daily by means of a checklist, could not explain these relations. No differences were found between patients with high or low scores on alcohol abuse. CONCLUSIONS: The study shows a potential use of screeners for mental disturbances to detect patients for whom nurses might need additional help. However, mental disturbance is not the sole criterion: functional status and other variables that predict medical and nursing care utilization should be included in a screening strategy for case-management programmespor
dc.identifier.citationJ Adv Nurs. 2001 Nov;36(3):355-63por
dc.identifier.issn0309-2402
dc.identifier.urihttp://hdl.handle.net/10400.10/634
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherBlackwellpor
dc.subjectPerturbações mentaispor
dc.subjectAnsiedadepor
dc.subjectAlcoolismopor
dc.subjectDepressãopor
dc.subjectEnfermagempor
dc.subjectEuropapor
dc.subjectNursingpor
dc.subjectMental disturbancespor
dc.titleMental disturbances and perceived complexity of nursing care in medical inpatients: results from a European studypor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceOxfordpor
oaire.citation.endPage363por
oaire.citation.startPage355por
oaire.citation.titleJournal of Advanced Nursingpor
oaire.citation.volume36por
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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