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Multidisciplinary, Nurse-Led Psychiatric Consultation in Nursing Homes: A Pilot Study in Clinical Practice.

作者信息

Koekkoek Bauke, van Baarsen Carlijn, Steenbeek Mirella

机构信息

Research Group Social Psychiatry & Mental Health Nursing, HAN University of Applied Sciences, Nijmegen, The Netherlands.

Pro Persona Mental Health Care, ProCES, Wolfheze, The Netherlands.

出版信息

Perspect Psychiatr Care. 2016 Jul;52(3):217-23. doi: 10.1111/ppc.12120. Epub 2015 May 5.

DOI:10.1111/ppc.12120
PMID:25944624
Abstract

PURPOSE

To determine the effects of multidisciplinary, nurse-led psychiatric consultation on behavioral problems of nursing home residents. Residents often suffer from psychiatric symptoms, while staff psychiatric expertise varies.

DESIGN AND METHODS

A pre-post study was conducted in seven homes using the Neuropsychiatric Inventory Nursing Home version (NPI-NH).

FINDINGS

In 71 consultations during 18 months, 56-75% of residents suffered from agitation/aggression, depression, anxiety, and disinhibition. Post-intervention (n = 54), frequency, and severity of psychiatric symptoms were significantly and clinically meaningfully reduced. Also, staff suffered from less work stress.

PRACTICE IMPLICATIONS

Nurse-led psychiatric consultation is valuable to both nursing home residents and staff.

摘要

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