Clinical pathway of elderly persons with lowered mood in the health care services

被引:6
作者
Arve, S
Lauri, S
Lehtonen, A
机构
[1] Turku City Hosp, Dept Med, FIN-20700 Turku, Finland
[2] Univ Turku, Dept Nursing, Turku, Finland
[3] Univ Turku, Dept Geriatr, Turku, Finland
关键词
clinical pathway; elderly; lowered mood; utilization of health services;
D O I
10.1080/028393100750018823
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Elderly persons with mild depression are notable consumers of somatic health services. This study describes the typical clinical pathway including institutional care of two groups, depressed and non-depressed elderly persons, in different stages of the health care system, and compares possible changes in the use of health care services between the two groups. We also compare differences in morbidity and mortality between depressed and non-depressed persons. The depressed group of 50 persons in our follow-up study were selected randomly from among those persons who were diagnosed as having symptoms of depression, as shown in the Zung Self-Rating Depression Scale (n = 109). persons (n = 50) who were not diagnosed as suffering from depression and who showed no signs of cognitive impairment (n = 833) were likewise chosen at random as a control group. We Found that people suffering from symptoms of depression utilized institutional care, home health care and the outpatient clinics more than non-depressed people. Depressed people were more likely to suffer cardiovascular (p < 0.023) and pulmonary diseases (p < 0.04) than non-depressed controls. The mortality among depressed people was significantly higher than that in the control group. The results of our study give reason to believe that home-care staff are in a key position to identify depressed subjects. They have to understand the relationship between depression and the effect of various diseases on health and functional capacity. It is also important to ensure efficient communication between those responsible for health care.
引用
收藏
页码:191 / 198
页数:8
相关论文
共 51 条
[1]   LIMITS OF THE MINI-MENTAL STATE AS A SCREENING-TEST FOR DEMENTIA AND DELIRIUM AMONG HOSPITAL PATIENTS [J].
ANTHONY, JC ;
LERESCHE, L ;
NIAZ, U ;
VONKORFF, MR ;
FOLSTEIN, MF .
PSYCHOLOGICAL MEDICINE, 1982, 12 (02) :397-408
[2]   Major and minor depression in later life: A study of prevalence and risk factors [J].
Beekman, ATF ;
Deeg, DJH ;
vanTilburg, T ;
Smit, JH ;
Hooijer, C ;
vanTilburg, W .
JOURNAL OF AFFECTIVE DISORDERS, 1995, 36 (1-2) :65-75
[3]   Depression and physical health in later life: results from the Longitudinal Aging Study Amsterdam (LASA) [J].
Beekman, ATF ;
Penninx, BWJH ;
Deeg, DJH ;
Ormel, J ;
Braam, AW ;
van Tilburg, W .
JOURNAL OF AFFECTIVE DISORDERS, 1997, 46 (03) :219-231
[4]   Consequences of major and minor depression in later life: a study of disability, well-being and service utilization [J].
Beekman, ATF ;
Deeg, DJH ;
Braam, AW ;
Smit, JH ;
VanTilburg, W .
PSYCHOLOGICAL MEDICINE, 1997, 27 (06) :1397-1409
[5]   THE MINI-MENTAL-STATE-EXAMINATION - IDENTIFYING THE MOST EFFICIENT VARIABLES FOR DETECTING COGNITIVE IMPAIRMENT IN THE ELDERLY [J].
BRAEKHUS, A ;
LAAKE, K ;
ENGEDAL, K .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1992, 40 (11) :1139-1145
[6]   Geriatric patients with depression - Improving outcomes using a multidisciplinary clinical path model [J].
Bultema, JK ;
Mailliard, L ;
Getzfrid, MK ;
Lerner, RD ;
Colone, M .
JOURNAL OF NURSING ADMINISTRATION, 1996, 26 (01) :31-38
[7]  
Cole MG, 1996, INT J GERIATR PSYCH, V11, P157, DOI 10.1002/(SICI)1099-1166(199602)11:2<157::AID-GPS304>3.0.CO
[8]  
2-S
[9]   ALZHEIMERS-DISEASE, OTHER DEMENTIAS, DEPRESSION AND PSEUDODEMENTIA - PREVALENCE, INCIDENCE AND 3-YEAR OUTCOME IN LIVERPOOL [J].
COPELAND, JRM ;
DAVIDSON, IA ;
DEWEY, ME ;
GILMORE, C ;
LARKIN, BA ;
MCWILLIAM, C ;
SAUNDERS, PA ;
SCOTT, A ;
SHARMA, V ;
SULLIVAN, C .
BRITISH JOURNAL OF PSYCHIATRY, 1992, 161 :230-239
[10]  
CULLEN M, 1993, HLTH TRENDS, P142