McCabe Marita P, Russo Sarah, Mellor David, Davison Tanya E, George Kuruvilla
School of Psychology, Deakin University, Melbourne, Australia.
Int J Geriatr Psychiatry. 2008 Dec;23(12):1290-6. doi: 10.1002/gps.2067.
Depression is a mental disorder that is frequently not detected among older people. The current study was designed to evaluate the effectiveness of a training program to assist carers to better recognize depression among older people in both community and residential care settings.
In total, 52 professional carers (26 in community care, 26 in residential care) across a range of occupations completed a four session (for personal care attendants) or six session (for registered nurses or managers) training program. The program provided training for staff to identify and respond appropriately to signs of depression. In addition, nurses and managers were trained on the use of screening tools and referral processes. Outcomes were evaluated at post-test, and 6-month follow-up.
The results demonstrated that for all groups training was effective in increasing carers' knowledge of depression and self-efficacy in detecting depression, as well as reducing the barriers to care at both post-test and 6-month follow-up.
The training program evaluated in the current study was effective in increasing the level of skills necessary for care staff to better detect depression among older people in both community and residential care settings. Further research is needed to determine if these improved skills are sustained over time, and if they actually improve the level of recognition of depression among older people.
抑郁症是一种在老年人中经常未被发现的精神障碍。本研究旨在评估一项培训计划的有效性,该计划旨在帮助护理人员在社区和住院护理环境中更好地识别老年人中的抑郁症。
共有52名来自不同职业的专业护理人员(26名在社区护理,26名在住院护理)完成了一个四节课程(针对个人护理员)或六节课程(针对注册护士或管理人员)的培训计划。该计划为工作人员提供了识别抑郁症迹象并做出适当反应的培训。此外,护士和管理人员接受了筛查工具使用和转诊流程的培训。在测试后和6个月随访时评估结果。
结果表明,对于所有组,培训在提高护理人员对抑郁症的认识和检测抑郁症的自我效能方面是有效的,同时在测试后和6个月随访时也减少了护理障碍。
本研究中评估的培训计划有效地提高了护理人员在社区和住院护理环境中更好地检测老年人抑郁症所需的技能水平。需要进一步研究以确定这些提高的技能是否能长期维持,以及它们是否真的能提高对老年人抑郁症的识别水平。