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Metas de Enfermería

Metas de Enfermería

MARZO 2012 N° 2 Volumen 15

Effectiveness of a programme for the multidisciplinary approach to depression that boosts the nurse’s role in Primary Care

Section: Cover story

How to quote

López-Cortacans G et ál. Efectividad de un programa para el abordaje multidisciplinar de la depresión en AP. Metas de Enferm mar 2012; 15(2): 28-32

Authors

1Germán López-Cortacans, 2Walesca Badia Rafecas, 3Antonia Caballero Alías, 4Pilar Casaus Samatán, 5Josep Lluís Piñol Moreso, 6Enric Aragonès

Position

1Enfermero especialista en Salud Mental. Máster en Ciencias de la Enfermería. Centro de Atención Primaria Salou (Tarragona). Federación de Asociaciones de Enfermería Comunitaria y Atención Primaria (FAECAP). 2Enfermera. Centro de Atención Primaria Salou. 3Médica. Centro de Atención Primaria Salou. 4Directora Médica del área comunitaria del Instituto Pere Mata. Grupo Plan Director de Salud Mental y Adicciones de Cataluña.5Doctor en Medicina. Médico de Familia. Unidad de Apoyo a la Investigación, ámbito de Atención Primaria Tarragona-Reus. Institut Català de la Salut.6Doctor en Medicina. Médico de Familia. Centro de Atención Primaria de Constantí. Tarragona. Institut Català de la Salut.

Contact address

Germán López-Cortacans. Centro de Atención Primaria Salou. C/ Carrilet, s/n. 43840 Tarragona.

Contact email: glopez.tarte.ics@gencat.cat

Abstract

Objective: To assess, in terms of clinical effectiveness (depression-free days), a care model based on promoting the nurse’s role and aimed at improving the management of depression in Primary Care, versus standard treatment.
Material and method: Randomised controlled trial. 20 primary care centers participated and were assigned to two alternative groups: an intervention group and a standard treatment group (control). The intervention consisted of a multicomponent programme with clinical, educational and organizational procedures that include capacity-building­, clinical guidelines, Primary Care nurses such as care managers and improvements in Primary Care-Psychiatry coordination. Results were evaluated at 0, 3, 6 and 12 months based on depression-free days (DFD). For the bivariate analysis Student’s T test and chi square were used. 95% confidence intervals were calculated. The analyses were performed by intention to treat.
Results: 338 individuals participated, 189 of which were assigned to the intervention group and 149 to the control group. The amount of DFDs was significantly higher in the intervention group than in the control group: between 0 and 12 months, the mean (standard deviation, SD) in the intervention group was 204.6 DFD, and in the control group it was 160.5 DFD (SD: 110.4), the difference being of 44.1 DFD (95% CI: 18.1-70.1) (p=0.001).
Conclusions: The participation of the Nursing professional in the manage­ment of depression in Primary Care within the framework of a multi­component programme leads to better clinical results in terms of depression-free days. The different parts of the programme are simple and easily available, which indicates that their implementation could be recom­mended.
International registry of the study: ISRCTN16384353, at www.controlled.trials.com

Keywords:

depression; depression-free days; effectiveness; nursing role; PHQ-9; Primary Care; randomised controlled trialresearch

Versión en Español

Título:

Efectividad de un programa para el abordaje multidisciplinar de la depresión que potencia el rol enfermero en Atención Primaria

Artículo completo no disponible en este idioma / Full article is not available in this language

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