护士主导的多发性硬化症患者心理健康服务。

A nurse-led mental health service for people with multiple sclerosis.

机构信息

Florence Nightingale School of Nursing & Midwifery, Room 1.17, James Clerk Maxwell Building, London, United Kingdom.

出版信息

J Psychosom Res. 2012 Jun;72(6):463-5. doi: 10.1016/j.jpsychores.2012.01.020. Epub 2012 Mar 30.

DOI:10.1016/j.jpsychores.2012.01.020

PMID:22656445

Abstract

BACKGROUND

Mental health problems are under recognised and under treated in people with multiple sclerosis (MS).

METHOD

A nurse-led project linking MS and mental health services was evaluated. Data on all referrals and management from 2006 to 2008 were collected prospectively.

RESULTS

127 referrals were received. 82% had depression, 53% had anxiety (45% both). 42% were offered case management; 52% received Cognitive Behaviour Therapy (CBT), 55% required initiation or alteration of psychiatric medications and 19% were referred to secondary care; 16% had made suicidal plans. Significant improvements in depression at 6months occurred, but not anxiety or fatigue.

CLINICAL IMPLICATIONS

This service provides a model of mental health provision for patients with long term neurological conditions, in particular MS.

摘要

背景

多发性硬化症（MS）患者的心理健康问题未得到充分认识和治疗。

方法

评估了一项由护士主导的将 MS 与心理健康服务联系起来的项目。前瞻性地收集了 2006 年至 2008 年的所有转诊和管理数据。

结果

共收到 127 份转诊申请。82%的患者患有抑郁症，53%的患者患有焦虑症（45%两者兼有）。42%的患者接受了个案管理；52%的患者接受了认知行为疗法（CBT），55%的患者需要开始或改变精神科药物治疗，19%的患者转至二级保健；16%的患者有自杀计划。抑郁在 6 个月时显著改善，但焦虑和疲劳没有改善。