Abstract：
AIMS AND OBJECTIVES:The relationship between mental disturbances - anxiety and depression, somatization and alcohol abuse - on admission to internal medicine units and perceived complexity of care as indicated by the nurse at discharge was studied. The goal was to study the utility of short screeners for mental disturbances to select patients for case-management on admission. DESIGN:The study had a cohort design: patients were included on admission and followed through their hospital stay until discharge. The study was conducted within the framework of the European Biomed 1 Risk Factor study. RESEARCH METHODS AND INSTRUMENTS: In the first 3 days of admission the patients were interviewed by a trained health care professional, who scored the SCL-8D, a somatization questionnaire based on the Whiteley-7 and the CAGE. At discharge, nurses rated the complexity of the patient's care. RESULTS:Patients with high scores on anxiety and depression (SCL-8D) and on somatization received higher ratings on perceived nursing complexity than those with low scores, with and without control for age, severity of illness and chronicity. The actual nursing intensity and medical care utilization, as measured daily by means of a checklist, could not explain these relations. No differences were found between patients with high or low scores on alcohol abuse. CONCLUSIONS:The study shows a potential use of screeners for mental disturbances to detect patients for whom nurses might need additional help. However, mental disturbance is not the sole criterion: functional status and other variables that predict medical and nursing care utilization should be included in a screening strategy for case-management programmes.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Jonge PD,Zomerdijk MM,Huyse FJ,Fink P,Herzog T,Lobo A,Slaets JP,Arolt V,Balogh N,Cardoso G,Rigatelli Mdoi
10.1046/j.1365-2648.2001.01983.xkeywords:
subject
Has Abstractpub_date
2001-11-01 00:00:00pages
355-63issue
3eissn
0309-2402issn
1365-2648pii
1983journal_volume
36pub_type
杂志文章abstract：AIMS:To gather, quality assess, synthesize and interpret the views, feeling, and experiences of women who used water immersion during labour and/or birth. DESIGN:A systematic meta-thematic synthesis and GRADE-CERQual. DATA SOURCES:We searched MEDLINE, CINHAL, PsychINFO, AMED, EMBASE (MIDIRS only), LILACS, AJOL. Addit...
journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,meta分析
doi：10.1111/j.1365-2648.1996.tb01020.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：1999-12-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
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更新日期：2013-07-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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doi：10.1111/j.1365-2648.1980.tb00977.x
更新日期：1980-07-01 00:00:00
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journal_title：Journal of advanced nursing
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doi：10.1111/jan.12731
更新日期：2015-11-01 00:00:00
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更新日期：2020-10-01 00:00:00
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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