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Faculty of Medical Sciences

Ondersteuning voor de huisarts bij de behandeling van psychische problemendeel 2: wat vindt de patiënt ervan?

Veldman, A.W.C. (Anne Wil) (2012) Ondersteuning voor de huisarts bij de behandeling van psychische problemendeel 2: wat vindt de patiënt ervan? thesis, Medicine.

Full text available on request.

Abstract

Background: Mental health problems have a high prevalence. Most adults with mental health problems in need of help, receive primary care treatment. Since 2008 mental health practice nurse (in Dutch named Praktijkondersteuner Huisartsenzorg GGZ (POH-GGZ)) are available to support GPs with the care of patients with mental health problems. Most important functions are problem clarification, advising, process steering, guiding, case management and short treatment. Practice research of the mental health practice nurse is needed to determine to which extent the mental health practice nurse works in accordance with the intended task assignment. In part 1 of this current survey, the task realisation of 19 mental health practice nurses working in the province Groningen (The Netherlands) has been studied. This second part of the study focuses on patients’ experiences with the help of their mental health practice nurse. Method: During three months the 19 mental health practice nurse have registered their first contact and the follow-up contacts with the patient in registration forms. The patients completed a questionnaire after the first contact and in case informed consent was given, a second questionnaire three months after the first contact. The registration forms and patient questionnaires have been processed and analyzed with SPSS 19.0. It appeared form the non-response analysis that patients who completed the second patient questionnaire (N=159) were a good reflection of the patients who have completed the first patient questionnaire (N=456). Results: 68% of the patient population seeing the mental health practice nurse is female and the mean age is 45 years. After three month the patients especially pointed out that they got help for the problems ‘stress/stressed’ and ‘depressive feeling’. 82% of the patients reported to have received ‘counselling’ and as such it is the most frequently received service. Patients consider ‘information about the possibilities for help or treatment’ and ‘availability’ as the most important issues. Improvement occures on five of the seven aspect of the functional status according the WONCA-COOP. The patients give a mean value of 7.5 to the aid of the mental health practice nurse. 87% of the population points out that they see surplus value of the involvement of the mental health practice nurse. Conclusion and discussion: Concluding, patients experience the help of the mental health practice nurse as good. The results of this study are mainly based on the patients of a limited number of mental health practice nurse. There are no relations between the improvement in functional status and the kind of problems patients come with or the kind of received help. The tendency towards the increase of inflow of mental health practice nurse, is a good sign for the future and must be stimulated.

Item Type: Thesis (Thesis)
Supervisor name: Verhaak, Prof. P.F.M. and NIVEL en UMCG (Huisartsgeneeskunde) in samenwerking met de R
Faculty: Medical Sciences
Date Deposited: 25 Jun 2020 10:42
Last Modified: 25 Jun 2020 10:42
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/383

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