Screening for symptomer på depresjon og angst ved en hjertemedisinsk avdeling

Berge, Torkil; Bull-Hansen, Bente; Solberg, Erik Ekker; Heyerdahl, Else Resser; Jørgensen, Kjetil Nordbø; Vinge, Leif Erik; Aarønæs, Marit; Øie, Erik; Hyldmo, Ingrid

doi:10.4045/tidsskr.18.0570

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…Staff saw value in broad-scale implementation for all cardiac patients seen in the clinic. Moreover, staff feedback echoed key elements of implementing depression screening found in the literature, including optimizing EMR utilization and ensuring patient follow-up (Aleem et al, 2015;Berge et al, 2019;Peters et al, 2020;Russomagno & Waldrop, 2019;Smolderen et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…Depression screening has been implemented with various patient populations including inpatient settings (post-acute coronary syndrome [Smolderen et al, 2011], post-stroke [Mcintosh, 2017], general cardiac [Gorini et al, 2020]) and outpatient settings (primary care [Aleem et al, 2015], CHD, diabetes, or stroke [Jani et al, 2013], post-partum women [Russomagno & Waldrop, 2019], cardiac [Berge et al, 2019], heart transplant [Peters et al, 2020]). These published studies yield a wide range of depression screening compliance from 31% to 93%.…”

Section: Introductionmentioning

confidence: 99%

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Assess and address: Screening and management of depression in patients with chronic heart failure

Wilhelm

Davis

Sharpe

et al. 2022

J Am Assoc Nurse Pract

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Background:About one in three patients with heart failure (HF) have depression. Comorbid HF and depression are associated with poor outcomes and increased health care burden. Clinical guidelines recommend routine depression screening in patients with HF.Local Problem:Depression screening was not being systematically implemented in an outpatient cardiology clinic.Methods:To create a sustainable process for a cardiology clinic to screen adults with chronic HF for depression, identify patients who have an elevated depression screening score and initiate an evidence-based treatment algorithm for patients with depressive symptoms.Intervention:A nurse practitioner (NP)-led process improvement project administered the Patient Health Questionnaire (PHQ-9) tool to patients with HF. The score was reviewed by the NP and, if elevated, addressed with assessment and plan. Compliance was measured by the percentage of patients screened. Clinical impact was measured by percentage of patients with an elevated score with a documented treatment plan.Results:Postimplementation results for four Plan-Do-Study-Act cycles were 38%, 68%, 72%, and 66%, respectively, with a total 63% of patients screened during the entire project. Twenty unique patients (13.2%) had elevated PHQ-9 scores; all had a documented treatment plan.Conclusions:We demonstrated how a screening protocol and an accompanying treatment algorithm can be successfully implemented in an outpatient cardiology clinic. Elements of success included a standardized screening protocol, a clinical support algorithm for treatment/referral, an optimized electronic medical record, and a follow-up system for patients with significant depressive symptoms. Stakeholder engagement throughout the project informed iterative changes and provided direction for sustainability.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assess and address: Screening and management of depression in patients with chronic heart failure

Wilhelm

Davis

Sharpe

et al. 2022

J Am Assoc Nurse Pract

View full text Add to dashboard Cite

show abstract

“…The work situation, overload works, safety factors and circadian shift model affect the physical and mental health of nursing staff in China, resulting in poor health and also a large proportion of nursing staff leaving the working force [11,[34][35][36][37]. For example, if the symptoms of depression and anxiety are not well managed, they will increase the risk of suffering cardiovascular diseases [38]. It is therefore important to understand if the symptoms of depression and anxiety are associated with poor health lacking, however, a diagnosable condition.…”

Section: High Prevalence Of Shs In Chinese Nursesmentioning

confidence: 99%

Psychological symptoms in Chinese nurses may be associated with predisposition to chronic disease: a cross-sectional study of suboptimal health status

et al. 2020

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Background Suboptimal health status (SHS) is a reversible state between ideal health and illness and it can be effectively reversed by risk prediction, disease prevention, and personalized medicine under the global background of predictive, preventive, and personalized medicine (PPPM) concepts. More and more Chinese nurses have been troubled by psychological symptoms (PS). The correlation between PS and SHS is unclear in nurses. The purpose of current study is to investigate the prevalence of SHS and PS in Chinese nurses and the relationship between SHS and PS along with predisposing factors as well as to discuss the feasibility of improving health status and preventing diseases according to PPPM concepts in Chinese nurses. Methods A cross-sectional study was conducted with the cluster sampling method among 9793 registered nurses in Foshan city, China. SHS was evaluated with the Suboptimal Health Status Questionnaire-25 (SHSQ-25). Meanwhile, the PS of depression and anxiety were evaluated with Self-Rating Depression Scale (SDS) and Self-Rating Anxiety Scale (SAS) self-assessment questionnaires. The relationship between PS and SHS in Chinese nurses was subsequently analyzed. Results Among the 9793 participants, 6107 nurses were included in the final analysis. The prevalence of SHS in the participants was 74.21% (4532/6107) while the symptoms of depression and anxiety were 47.62% (2908/6107) and 24.59% (1502/6107) respectively. The prevalence of SHS in the participants with depression and anxiety was significantly higher than those without the symptoms of depression (83.3% vs 16.7%, P < 0.001) and anxiety (94.2% vs 5.8%, P < 0.0001). The ratio of exercise habit was significantly lower than that of non-exercise habit (68.8% vs 78.4%, P < 0.001) in SHS group. Conclusions There is a high prevalence of SHS and PS in Chinese nurses. PS in Chinese nurses are associated with SHS. Physical exercise is a protective factor for SHS and PS so that the exercise should be strongly recommended as a valuable preventive measure well in the agreement with PPPM philosophy. Along with SDS and SAS, SHSQ-25 should also be highly recommended and applied as a novel predictive/preventive tool for the health measures from the perspectives of PPPM in view of susceptible population and individual screening, the predisposition to chronic disease preventing, personalization of intervention, and the ideal health state restoring.

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“…Patient responses are rated 0-3 with 0 representing "not at all" and 3 indicating "almost every day;" the PHQ-9 contains a total score range of 0-27, with a higher score meaning a higher level of depression. In addition, it has been utilized for the screening of depression in the cardiac population (Berge et al, 2019).…”

Section: Patient Health Questionnaire-9mentioning

confidence: 99%

“…Permission for use, replay, and deployment is not required. The GAD-7 has been utilized for the screening of anxiety in cardiac patients (Berge et al, 2019).…”

Section: Generalized Anxiety Disordermentioning

confidence: 99%

The Monitoring of Psychosocial Factors During Hospitalization Before and After Cardiac Surgery Until Discharge From Cardiac Rehabilitation: A Research Protocol

et al. 2020

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Screening for symptomer på depresjon og angst ved en hjertemedisinsk avdeling

Cited by 6 publications

References 13 publications

Assess and address: Screening and management of depression in patients with chronic heart failure

Assess and address: Screening and management of depression in patients with chronic heart failure

Psychological symptoms in Chinese nurses may be associated with predisposition to chronic disease: a cross-sectional study of suboptimal health status

The Monitoring of Psychosocial Factors During Hospitalization Before and After Cardiac Surgery Until Discharge From Cardiac Rehabilitation: A Research Protocol

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