Hughes C P
Derbyshire County Primary Care Trust, Derbyshire, UK.
J Psychiatr Ment Health Nurs. 2008 Sep;15(7):595-604. doi: 10.1111/j.1365-2850.2008.001279.x.
Mental health problems are very common among older people in general hospitals. They are independent predictors of poor outcomes. Research indicates that appropriate interventions can improve outcomes. It is increasingly recognized that liaison mental health services have a key role in meeting the needs of older people in the general hospitals and educating and supporting staff. This paper describes aspects of the developmental and clinical work of a consultant nurse in developing a nurse-led liaison mental health service for older people in Chesterfield, Derbyshire, UK. It describes the impact of this service on referral rates. It also details the results of an audit of 206 referrals assessed by the consultant nurse in the second year of the service. The analysis of data collected provides a profile of aspects of the role of a liaison nurse including reasons for referral, psychiatric diagnosis and interventions recommended. This paper also, uniquely, documents mental health liaison into a community hospital. Implications for the development of services are discussed.
心理健康问题在综合医院的老年人中非常普遍。它们是不良预后的独立预测因素。研究表明,适当的干预措施可以改善预后。人们越来越认识到,联络精神卫生服务在满足综合医院老年人的需求以及教育和支持工作人员方面起着关键作用。本文描述了英国德比郡切斯特菲尔德一名顾问护士在为老年人开发由护士主导的联络精神卫生服务过程中的发展和临床工作情况。它描述了这项服务对转诊率的影响。它还详细介绍了该服务第二年由顾问护士评估的206例转诊病例的审计结果。对收集到的数据进行的分析提供了联络护士角色各方面的概况,包括转诊原因、精神科诊断和推荐的干预措施。本文还独特地记录了向社区医院提供精神卫生联络服务的情况。文中讨论了对服务发展的影响。