Major depressive disorders in the general hospital: how to implement guidelines.

Détails

ID Serval
serval:BIB_1DEB374ABAED
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Major depressive disorders in the general hospital: how to implement guidelines.
Périodique
Journal of psychosomatic research
Auteur(s)
Michaud L., Voellinger R., Burnand B., Stiefel F.
ISSN
0022-3999
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
60
Numéro
5
Pages
455-9
Langue
anglais
Notes
Publication types: Journal Article - Publication Status: ppublish
Résumé
OBJECTIVE: An implementation study that evaluated the impact of previously adopted guidelines on the clinical practice of medical residents was conducted to improve the recognition and treatment of major depressive disorders (MDDs) in hospitalized patients with somatic diseases. METHODS: Guidelines were implemented in two wards (ENT and oncology) using intranet diffusion, interactive sessions with medical residents, and support material. Discharge letters of 337 and 325 patients, before and after the intervention, respectively, were checked for statement of diagnosis or treatment of MDDs and, in a post hoc analysis, for any mention about psychiatric management. RESULTS: No difference was found in the number of diagnosed or treated MDDs before and after the intervention. However, significantly more statements about psychological status (29/309 vs. 13/327) and its management (36/309 vs. 19/327) were observed after the intervention (P<.01). CONCLUSION: The intervention was not successful in improving the management of MDDs. However, a possible effect on general psychological aspects of medical diseases was observed.
Mots-clé
Adolescent, Adult, Aged, Aged, 80 and over, Anxiety Disorders, Depressive Disorder, Major, Female, Guidelines as Topic, Health Promotion, Hospitals, General, Humans, Internship and Residency, Length of Stay, Middle Aged, Physician's Practice Patterns, Prevalence, Questionnaires, Severity of Illness Index
Pubmed
Web of science
Création de la notice
10/03/2008 10:28
Dernière modification de la notice
20/08/2019 12:54
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