St Vincent's Centre for Nursing Research & Cardiovascular Research Centre, Australian Catholic University.
Eur J Cardiovasc Nurs. 2012 Jun;11(2):231-8. doi: 10.1016/j.ejcnurse.2011.04.005. Epub 2012 Mar 6.
Routine screening and assessment for depression occurs rarely in clinical practice for a variety of reasons, including the absence of systems to facilitate the process.
To identify nurses' knowledge and practice regarding depression screening and referral for cardiac patients following the implementation of education workshops and a validated screening tool with referral actions.
Pre and post-test design using surveys and semi-structured interviews was conducted with a purposive sample of nurses in a large Australian metropolitan tertiary referral hospital. Prior to the introduction of the screening and referral tool, nurses engaged in an interactive one hour education workshop on the topic of depression and the tool; introduced to improve depression screening following an acute cardiac event.
In the pre and post-survey 40 and 30 nurses, respectively, participated with 14 also engaging in semi-structured interviews. Eighty percent reported a 'good' understanding of depression post-program compared to 30% at baseline. Sixty percent reported routinely using the depression screening and referral tool. The interviews identified three main themes that supported the utility of the education and instrument: knowledge improvement; perceived self-efficacy and new knowledge into practice.
The vast majority of participants reported increased skill, knowledge and confidence to screen and refer for depression post an acute cardiac event. The substantial increase in the number of nurses who engaged in screening and referral actions further demonstrated the success of the program. These encouraging results provide evidence that screening for depression can be achieved through adopting formalised processes.
由于各种原因，包括缺乏促进该过程的系统，常规筛查和评估抑郁症在临床实践中很少发生。
确定护士在实施教育研讨会和经过验证的具有转诊作用的筛查工具后，针对心脏病患者进行抑郁症筛查和转诊的知识和实践情况。
采用问卷调查和半结构式访谈的前后测试设计，对澳大利亚一家大型大都市三级转诊医院的护士进行了有针对性的抽样调查。在引入筛查和转诊工具之前，护士参加了一个关于抑郁症和该工具的一个小时的互动教育研讨会；旨在改善急性心脏事件后的抑郁症筛查。
在预调查和后调查中，分别有 40 名和 30 名护士参与，其中 14 名护士还参加了半结构式访谈。80%的人在项目结束后报告对抑郁症有“良好”的了解，而基线时只有 30%。60%的人报告经常使用抑郁症筛查和转诊工具。访谈确定了三个支持教育和工具效用的主要主题：知识提高；感知效能和新知识到实践。
绝大多数参与者报告在急性心脏事件后筛查和转诊抑郁症的技能、知识和信心有所提高。参与筛查和转诊的护士人数大幅增加，进一步证明了该计划的成功。这些令人鼓舞的结果表明，通过采用正式流程可以实现对抑郁症的筛查。
