Lea Patricia
University of Texas Medical Branch School of Nursing, 301 University Boulevard, Galveston, TX 77555-1029, USA.
Depress Res Treat. 2014;2014:257658. doi: 10.1155/2014/257658. Epub 2014 Nov 26.
Systematic depression screening is feasible, efficient, and well accepted; however the lack of consistent assessment in heart failure inpatients suggests barriers preventing its effective diagnosis and treatment. This pilot study assessed the impact of an educational intervention on nurses' beliefs about depression and their likelihood of routinely screening heart failure patients. Registered nurses (n = 35) from adult medical-surgical units were surveyed before and after an educational intervention to assess their beliefs about depression prevalence and screening in heart failure patients. There was no significant influence on nurses' beliefs about depression, but the results suggested an increased likelihood that nurses would routinely screen for depression. The moderately significant correlation between beliefs and intent to screen for depression indicates that educational intervention could ultimately have a positive influence on patient outcomes through early detection and treatment of depression in patients with cardiovascular disease; however the observed increase in the intent to screen without a corresponding change in beliefs indicates other influences affecting nurses' intent to screen heart failure patients for depression.
系统的抑郁筛查是可行、高效且易于接受的；然而，心力衰竭住院患者缺乏一致的评估表明存在阻碍其有效诊断和治疗的因素。这项试点研究评估了一项教育干预措施对护士关于抑郁症的看法及其对心力衰竭患者进行常规筛查可能性的影响。对来自成人内科和外科病房的注册护士（n = 35）在教育干预前后进行了调查，以评估他们对心力衰竭患者抑郁症患病率和筛查的看法。对护士关于抑郁症的看法没有显著影响，但结果表明护士进行常规抑郁症筛查的可能性增加。对抑郁症的看法与筛查意愿之间的中度显著相关性表明，教育干预最终可能通过早期发现和治疗心血管疾病患者的抑郁症对患者预后产生积极影响；然而，观察到的筛查意愿增加而看法没有相应变化表明还有其他因素影响护士对心力衰竭患者进行抑郁症筛查的意愿。
