Bagley H, Cordingley L, Burns A, Mozley C G, Sutcliffe C, Challis D, Huxley P
University of Manchester, Personal Social Services Research Unit, Dover Street Building, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
J Clin Nurs. 2000 May;9(3):445-50. doi: 10.1046/j.1365-2702.2000.00390.x.
Newly admitted residents in long-term care facilities are particularly vulnerable to depression and the early recognition and treatment of depression is therefore crucial around the time of admission to a home. Staff from 30 nursing and residential homes were asked to assess newly admitted residents for depression using HoNOS 65+ and their responses were compared with residents' scores on the Geriatric Depression Scale (GDS-15). The findings indicated low levels of recognition by staff, with rates ranging from 15% to 27% of those identified as depressed, depending on the definition of depression used. There was no statistically significant difference in the rate of recognition between nursing staff and other care staff. A staff survey conducted in the 30 study homes indicated that fewer than 2% had received specific in-service training on depression in older people. The findings suggest that more needs to be done to raise staff awareness of depression in residents of nursing and residential homes, particularly in newly admitted residents.
新入住长期护理机构的居民特别容易患抑郁症，因此在入住养老院时尽早识别和治疗抑郁症至关重要。来自30家护理院和养老院的工作人员被要求使用HoNOS 65+评估新入住居民的抑郁情况，并将他们的评估结果与居民在老年抑郁量表（GDS-15）上的得分进行比较。研究结果表明，工作人员的识别率较低，根据所使用的抑郁症定义，被认定为抑郁的居民中，识别率在15%至27%之间。护理人员和其他护理人员的识别率在统计学上没有显著差异。在30家参与研究的机构中进行的一项工作人员调查显示，接受过关于老年人抑郁症特定在职培训的人员不到2%。研究结果表明，需要做更多工作来提高护理院和养老院工作人员对居民抑郁症的认识，特别是对新入住居民的认识。
