Integrating psychological screening into reviews of patients with COPD.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Abstract:
      Background: People with chronic obstructive pulmonary disease (COPD) have a high prevalence o f anxiety and depression, which can have an impact on their symptoms and the way they manage their condition. Intervention that takes psychological distress into account may lead to better outcomes than simple advice-giving. Aim: To explore the feasibility of integrating psychological screening and intervention into nurse-led reviews o f patients with COPD. Method: Nurses were given training on a pathway developed for patients with COPD. This included screening for depression and anxiety and assessing their severity; providing self-management education by means o f a motivational approach; and offering pulmonary rehabilitation. Results: The nurses’ level of confidence increased following training. Patients were accepting of the screening process and felt more able and motivated to manage their condition after the intervention. Eleven of the 35 patients that took part in the study period had evidence o f anxiety and/or depression. Out of a total o f 16 patients eligible for pulmonary rehabilitation, 12 agreed to referral. Of these, three patients were seen by their GP, one was started on antidepressants, and one was referred to the psychology service. Conclusion: Training practice nurses to screen for depression and anxiety, and to offer self-management education using a motivational interviewing approach, increased the reported capability and motivation o f patients with COPD to manage their condition. It may also improve the uptake o f pulmonary rehabilitation. Use of this pathway does not place a burden on other care providers or greatly increase prescribing costs. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of British Journal of Nursing is the property of Mark Allen Holdings Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)