Impact of a telecare service for psichyatric patients at discharge

• Main Author: Sofía Martínez Villar (Author)
• Format: Book
• Published: Fundación para el Desarrollo de la Enfermería, 2012-11-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1697-218X
• Keywords: Telemedicine; suicide; discharge.; Medicine; R; Nursing; RT1-120
• Source: NURE Investigación, Vol 9, Iss 61 (2012)

Introduction: Suicide and self harm are two of the mental health problems that require more healthcare attention. When psychiatric patients are discharged back to their homes, must face multiple stress factors, which in many cases, are cause of readmissions, self harm and suicide. Objective: The aim of this study to assess whether a program of nursing telecare improves the adaptation of patient with risk of suicide and self harm at home. Methods: The design of this study is an experimental trial type, which generates two cohorts, an intervention one and a control one. The population of the study are patients diagnosed a major depression or borderline, antisocial, or histrionic personality disorder, admitted in the hospital because of symptom decompensation, and with a nursing diagnosis of risk of suicide, risk of self-harming and risk for self-directed violence. To data recollection, the levels of anxiety, suicidal ideation and the confrontation level at discharge and one month after discharge, the number of psychiatric emergency visits, number of readmissions and number of appointments to which the patient attended at the Mental Health Centre during the month at home, as well as the adherence to medication will be assessed. For the data analysis, the homogeneity of the groups will be eveluated, to then undertake a descriptive study of two cohorts, and then an analytical study for comparison.