Treatment of Depression in Homecare Patients

家庭护理患者抑郁症的治疗

• 批准号: 6318136
• 负责人: ELLEN Leslie BROWN
• 金额: $ 3.58万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-01-01 至 2001-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6318136
• 关键词: age difference; antidepressants; behavioral /social science research tag; clinical research; comorbidity; decision making; depression; drug adverse effect; drug interactions; gender difference; geriatrics; home health care; human subject; interview; medical records; mental disorder chemotherapy; nurse role; nursing care evaluation; patient care personnel attitude; primary care physician; psychiatric nursing

This proposed study of A Physician's Decision: Treatment of Depression Homecare Patients requests 1 year of funding to conduct a pilot investigation into the primary care physicians' perspectives on anti- depressant treatment for t6heir older patient receiving homecare nursing for medical or surgical problems. Depression is highly prevalent in home care patients but usually unrecognized and rarely treated. This pilot will augment the Cornell-Visiting Nurse Services of New York (VNSNY) Depression Treatment Study of the effectiveness of nurse initiated and managed antidepressant treatment for geriatric depression. The primary aims of this study are to (1) describe the knowledge and attitudes of physicians toward antidepressant treatment for older homecare patients, (2) identify both physician-specific and patient-specific factors associated with the physician's willingness to initiate antidepressant treatment in the older depressed home health patient, and (3) describe the interaction between the Advanced Practice Psychiatric Nurse and the treating physician in initiating and managing depression in older adults. The proposed study will contact and attempt to interview the 80 primary care physicians whose patients were enrolled in the Cornell-VNSNY Depression Treatment Study. These data as well as information collected by the study's Advanced Practice Psychiatric Nurse about her interaction with each primary care physician, the patient medical record and the patient interview will be used to address the study aims. Funds are being requested to collect additional data to build on and extend ongoing research with the overall goal of improving recognition and treatment of late-life depression in older health care patients.

本研究的题目为《医生的决定：家庭护理患者的抑郁治疗》，要求1年的资助，以进行一项试点调查，研究初级保健医生对因内科或外科问题接受家庭护理的老年患者的抗抑郁治疗的看法。抑郁症在家庭护理患者中非常普遍，但通常未被发现，也很少得到治疗。这一试点将扩大纽约康奈尔大学探访护士服务（VNSNY）抑郁症治疗研究，研究护士发起和管理抗抑郁药物治疗老年抑郁症的有效性。本研究的主要目的是：(1)描述医生对老年家庭护理患者抗抑郁治疗的知识和态度；(2)确定医生对老年抑郁家庭护理患者抗抑郁治疗意愿的相关因素，包括医生特异性因素和患者特异性因素。(3)描述高级实践精神科护士和治疗医师在老年人抑郁症的启动和管理中的相互作用。本研究将联系并试图采访80位初级保健医生，这些医生的患者参加了康奈尔大学-纽约州立大学抑郁症治疗研究。这些数据以及该研究的高级实践精神科护士收集的关于她与每位初级保健医生的互动、患者医疗记录和患者访谈的信息将用于解决研究目标。正在请求资金收集更多的数据，以建立和扩展正在进行的研究，其总体目标是提高老年保健患者对晚年抑郁症的认识和治疗。

项目成果

Thank you, CMS, for your leadership!

感谢 CMS 的领导！

• DOI: 10.3928/19404921-20110303-02
• 发表时间: 2011
• 期刊: Research in gerontological nursing
• 影响因子: 1.6
• 作者: Brown,EllenL;Bruce,MarthaL
• 通讯作者: Bruce,MarthaL

An intervention to improve nurse-physician communication in depression care.

改善抑郁症护理中护士与医生沟通的干预措施。

• DOI: 10.1097/jgp.0b013e3181bf9efa
• 发表时间: 2010
• 期刊: The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
• 作者: Brown,EllenL;Raue,PatrickJ;Klimstra,Sibel;Mlodzianowski,AmyE;Greenberg,RebeccaL;Bruce,MarthaL
• 通讯作者: Bruce,MarthaL