An update to depression case management by practice nurses in primary care: a service evaluation

Depression Collaborative Care
DOI: 10.1111/jpm.12153 Publication Date: 2014-03-28T05:34:21Z
ABSTRACT
Accessible summary There is a recognized need to enhance non‐pharmaceutical interventions in way that more accessible the primary care population. Collaborative has been shown have positive impact upon depression symptoms and core element of collaborative approach case manager. This paper service evaluation intervention uses nurses as manager follow‐up audit carried out by Ekers Wilson. The results support notion are ideally placed for delivering depressed patients; especially cases were patient also comorbid long‐term medical condition. Abstract care. practice an update E kers W ilson (2008), reporting outcomes 5 years following initial training. From 13 trained nurses, three provided anonymized data. Mean post‐treatment Patient Health Questionnaire‐9 ( PHQ 9) score was 8 [standard deviation SD ) 6.53, n = 185], indicating mean change symptom level 8.9 [ 7.01, 95% confidence interval (CI) 7.89–9.93, P < 0.001]. Subgroup analysis patients identified with conditions LTC 9 7.72, 33), 8.1 5.79, CI 6.04–10.41, 0.001). Nurses feedback on showing potential areas would benefit from further detailed qualitative review. It concluded be deliver LTCs .
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