Nurses' recognition and registration of depression, anxiety and diabetes-specific emotional problems in outpatients with diabetes mellitus
Nurses' recognition and registration of depression, anxiety and diabetes-specific emotional problems in outpatients with diabetes mellitus
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DOI：
10.1016/j.pec.2005.01.009
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发表时间：
2006-02-01
影响因子：
3.5
通讯作者：
Snoek, FJ
中科院分区：
文献类型：
--
作者：
Pouwer, F;Beekman, ATF;Snoek, FJ
目的：本研究旨在探讨糖尿病护理人员对糖尿病患者情绪问题的认知与登记频率。医院的焦虑，抑郁量表和糖尿病调查的问题领域被用来衡量焦虑，抑郁和糖尿病特有的emotional distress.Results：在中度至重度的焦虑或抑郁水平的患者，情绪问题的存在被记录在医疗图表中的20-25%的情况下。糖尿病特有的情绪困扰的登记率也很低，（治疗相关问题）降至29%（糖尿病相关的情绪问题）.结论：糖尿病护士的情绪问题的登记率被发现是低的，但与非糖尿病样本的研究中的医生和护士的检测率非常相似。这些发现表明，糖尿病患者的情绪问题的消除率需要增加。未来的研究应该调查是否可以通过使用经过验证的、标准化的自我报告问卷来促进糖尿病患者情绪问题的识别和后续治疗。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
Objective: The aim of this study was to investigate how often emotional problems were recognized and registered by diabetes nurses.Methods: We studied medical charts and questionnaire data of 112 diabetes patients. The hospital anxiety, depression scale and the problem areas in diabetes survey were used to measure anxiety, depression and diabetes-specific emotional distress.Results: In patients with moderate to severe levels of anxiety or depression, the presence of an emotional problem was recorded in the medical chart in 20-25% of the cases. The registration-rate of diabetes-specific emotional distress was also found to be low, ranging from 0% (treatment-related problems) to 29% (diabetes-related emotional problems).Conclusion: Registration-rates of emotional problems by diabetes nurses were found to be low, but quite similar to detection rates of physicians and nurses in studies with non-diabetic samples.Practice implications: These findings suggest that recognition-rates of emotional problems in diabetes patients need to be increased. Future studies should investigate whether recognition and subsequent treatment of emotional problems in diabetes patients can be facilitated by utilizing validated, standardized self-report questionnaires. (c) 2005 Elsevier Ireland Ltd. All rights reserved.