Lea Patricia
Patricia Lea, DNP, MSEd, RN, CCRN, received her Bachelor of Science in Nursing from Houston Baptist University in Houston, Texas, a Master's in Education from Baylor University, Waco, Texas, and a Doctorate of Nursing Practice in Executive Leadership from American Sentinel University in Aurora, Colorado. During her nursing career, Dr Lea has held the positions of director of a heart failure clinic, clinical coordinator of cardiology in Waco, Texas, and senior clinical research nurse at the Stem Cell Center at Texas Heart Institute in Houston, Texas. Dr Lea's clinical focus is critical care nursing. She is currently an assistant professor in the Baccalaureate Program at the School of Nursing, University of Texas Medical Branch, at Galveston, Texas. Her research interests are: 1) the impact of evidence based practice on nursing care, which she teaches in her course, and 2) early detection and treatment of depression in heart failure patients.
Dimens Crit Care Nurs. 2014 Nov-Dec;33(6):320-6. doi: 10.1097/DCC.0000000000000073.
The association between depression and cardiovascular disease has been well established and has been shown to decrease patients' quality of life and increase the risk of mortality, frequency and duration of hospitalization, and health care costs. The inpatient setting provides a potentially valuable opportunity to assess and treat depression among patients with acute cardiac illness, allowing for daily monitoring of treatment side effects. Although systematic depression screening appears to be feasible, efficient, and well accepted on inpatient cardiac units, the current lack of consistent inpatient assessment for depression in heart failure patients suggests the presence of barriers influencing the effective diagnosis and treatment of depression among inpatients with heart failure. The theory of planned behavior describes the cognitive mechanism by which behavioral intent is formed, giving some insight into how nurses' attitudes and beliefs affect their performance of routine depression screening. In addition, application of this cognitive theory suggests that nurses may be influenced to adopt more positive attitudes and beliefs about depression through educational intervention, leading to greater likelihood of routine assessment for depression, ultimately leading to more timely diagnosis and treatment and improved patient outcomes.
抑郁症与心血管疾病之间的关联已得到充分证实，且已表明这种关联会降低患者的生活质量，并增加死亡风险、住院频率和时长以及医疗保健成本。住院环境为评估和治疗急性心脏疾病患者的抑郁症提供了一个潜在的宝贵机会，便于对治疗副作用进行每日监测。尽管系统性抑郁症筛查在住院心脏科似乎可行、高效且被广泛接受，但目前针对心力衰竭患者缺乏一致的住院抑郁症评估，这表明存在影响心力衰竭住院患者抑郁症有效诊断和治疗的障碍。计划行为理论描述了行为意图形成的认知机制，为护士的态度和信念如何影响其常规抑郁症筛查工作提供了一些见解。此外，应用这一认知理论表明，通过教育干预，护士可能会受到影响，对抑郁症采取更积极的态度和信念，从而更有可能进行常规抑郁症评估，最终实现更及时的诊断和治疗，并改善患者预后。
