Abstract:
AIMS AND OBJECTIVES:The aim was to systematically review evidence about the effectiveness of in-home community nurse-led interventions for older persons with, or at risk of, mental health disorders, to inform best practice nursing care with this focus. The primary review question was 'How effective are in-home community nurse-led interventions for older persons with or at risk of mental health disorders for improving mental health?' The outcome indices of interest were nursing actions to determine incidence or prevalence of mental health disorders, any change in a patient's attitude towards their mental health condition, any change in objective measurement of mental health, or a change in diagnostic status. BACKGROUND:The rising incidence of mental health disorders in older persons is a major concern for community nurses in developed countries. Effectively facilitating improved mental health for older persons is necessary in this era of ageing populations with increased demands on health funding. Disseminating systematically reviewed evidence for in-home community nursing that positively impacts on the mental health of older persons is crucial to ensure effective care is provided to this vulnerable patient group. RESULTS:This review reveals that there is evidence to support the superiority of applying validated screening tools for mental health disorders over relying on community nurses' opinions and non-validated tools about this matter. DESIGN:Systematic review. METHODS:Search of electronic databases. CONCLUSION:A clear need for replication and multi-centre trials of reviewed pertinent studies is identified. Relevance to clinical practice. Community nurses should consider using validated screening tools for this focus. Until such time as higher quality evidence is available about other nursing interventions, the reviewers suggest that the prime nursing action should be the identification of whether older persons receiving community nursing care might have a mental health disorder and, if so, then collaborative referral is made to appropriate services.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Thompson P,Lang L,Annells Mdoi
10.1111/j.1365-2702.2008.02287.xsubject
Has Abstractpub_date
2008-06-01 00:00:00pages
1419-27issue
11eissn
0962-1067issn
1365-2702pii
JCN2287journal_volume
17pub_type
杂志文章,评审abstract:AIMS:The purpose of this study was to examine the frequency of complementary and alternative medicine usage in asthmatic patients living in the west of Turkey, the most frequently used complementary and alternative medicine methods and socio-demographic factors affecting this and factors related to the disease. BACKGR...
journal_title:Journal of clinical nursing
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journal_title:Journal of clinical nursing
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pub_type: 杂志文章,随机对照试验
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