Vloga medicinskih sester pri prepoznavanju in obravnavi depresije v skupnosti : pregled literature

Prolić, Branko (avtor), Milavec Kapun, Marija (mentor), Sedlar, Nataša (komentor)

Uvod: Neprepoznana ali pozno prepoznana depresija vodi v podaljšano zdravljenje in višje stroške zdravljenja. Ta vpliva na človeka kot na celoto, saj ovira njegovo vsakodnevno funkcioniranje in negativno vpliva na telesno in duševno zdravje. Zato je pomembno, da so medicinske sestre izobražene za zgodnje prepoznavanje in obravnavo depresije v skupnosti in da imajo na voljo orodja, ki jim omogočajo njeno lažje prepoznavanje. Namen: Predstaviti pomen zgodnjega prepoznavanja simptomov depresije, orodja za prepoznavo oseb z depresijo in intervencije za opolnomočenje medicinskih sester za obravnavo depresije v skupnosti. Metode dela: Uporabljena je bila deskriptivna metoda dela. Strokovno in znanstveno literaturo s področja depresije, zdravstvene nege, zdravstvene vzgoje in duševnega zdravja smo iskali v podatkovnih bazah CINAHL, PubMed, Cochrane collaboration, medtem ko smo domačo literaturo iskali preko iskalnika COBISS.SI. Pregledali in analizirali smo literaturo, objavljeno od leta 2001 do leta 2017. Rezultati: V pregled literature smo vključili 15 raziskav, ki so obravnavale prepoznavanje in obravnavo depresije v skupnosti s poudarkom na uporabi orodij za lažje prepoznavanje depresije in izvajanju izobraževalnih programov za opolnomočenje medicinskih sester za obravnavo depresije v skupnosti. Osem raziskav kaže na to, da z uporabo presejalnih orodij lažje prepoznamo depresijo, medtem ko je bilo v sedmih raziskavah ugotovljeno, da z dodatnimi izobraževanji medicinskih sester vplivamo na zgodnje prepoznavanje in boljše izide depresije. Razprava in sklep: Pregled literature je pokazal, da dodatna izobraževanja in vpeljava novih orodij za prepoznavanje in obravnavo depresije, ki jih lahko implementiramo v skupnosti, pozitivno vplivajo na zgodnje prepoznavanje in obravnavo depresije. Pomembno je, da se medicinske sestre z določenimi smernicami srečajo že v času študija, saj jim to omogoča lažji prehod v poklic, ki ga bodo opravljale. Hkrati pa je pomembno tudi, da medicinske sestre delujejo v interdisciplinarnem timu, saj so prve in tiste, ki so v najbolj pogostem stiku s pacienti. Prav od njih je dostikrat odvisno, če bodo prepoznale depresijo in kako jo bodo nato obravnavale.

• Jezik: Slovenski jezik
• Ključne besede: depresija, zdravstvena vzgoja, duševno zdravje, presejalna orodja, zdravstvena nega
• Vrsta gradiva: Diplomsko delo/naloga
• Organizacija: ZF - Zdravstvena fakulteta
• Leto izida: 2017
• PID: 20.500.12556/RUL-98585
• COBISS.SI-ID: 5383531
• Datum objave v RUL: 08.12.2017

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Role of nurses in identifying and managing depression in the community : literature review

Izvleček

Introduction: Undetected or late detection of depression leads to a prolonged treatment and higher costs of treatment. It affects a person holistically because it limits his opportunities regarding daily functioning. Thus, it is important that nurses are educated for early detection and treatment of depression in the community, and that they have tools available that enable them easier detection of depression. Purpose: The purpose of this thesis is to present the meaning of early detection and treatment of patients in the community and to present the newest and the most useful tools for detection of depression. Methods: The descriptive method of work was used. Professional and scientific literature in the fields of depression, nursing, health education, and mental health was searched in the CINAHL databases, PubMed, Cochrane collaboration, while domestic literature was searched through the COBISS.SI search engine. We reviewed and analysed literature published from 2001 to 2017. Results: The review of the literature included 15 studies, which dealt with the detection, treatment, and the use of tools and educational programs for the empowerment of nurses for their easier detection of depression. It was established that with additional education (7 studies), the use of the appropriate screening tools (8 studies) for detection of depression we positively influence the detection and the outcome of depression. Discussion and conclusion: The analysis of the reviewed literature showed that additional education and introduction of new tools for detection and treatment of the patients for depression, which we can implement in the community, positively effects the early detection and treatment of the patients with depression. It is important that nurses meet with certain guidelines already at the time of studying because it helps them with an easier transition to the occupation they are going to perform. At the same time, it is important that nurses work in the interdisciplinary team because they are the first and the ones, who are in the most frequent contact with the patient. It is up to them if they recognize depression and how will they handle it.

• Ključne besede: depression, health education, mental health, screening tools, district nurse, community nurse, health care