Effectiveness of Nurse-Led Interventions for the Prevention of Mental Health Issues in Patients Leaving Intensive Care: A Systematic Review

This study aimed to evaluate the effectiveness of nurse-led interventions for the prevention of mental health disorders after intensive care unit discharge through a systematic review of the literature. The searches were conducted in the MEDLINE (via PubMed), CINAHL, PsycINFO, and Cochrane Library databases for studies pertaining to such interventions. Two independent reviewers analyzed the studies, extracted data, and assessed the quality of the evidence. Six eligible articles were identified, all of which were regarding post-traumatic stress disorder after intensive care unit discharge. Some of the interventions were conducted during the admission and some after the discharge. One study found that multimedia education during admission improved anxiety and depression one week after discharge. The remaining five studies concluded that nurse-led interventions did not prevent mental health disorders three months to one year after intensive care unit discharge. Our review revealed a paucity of research into the effectiveness of nurse-led interventions for the prevention of mental health disorders after intensive care unit discharge. The timing and the content of these interventions, and the adequate training of nurses, appear to be key factors. Therefore, multidisciplinary interventions are likely to be more effective than those led by nurses alone

尼崎市住宅改造助成制度における住宅改造と機能的自立度評価法(FIM)との関連

Two hundred subjects from the housing project members supported by the Amagasaki city were evaluated for the activities of daily living (ADD and Functional Independent Measure(FIM). The subjects were divided into two groups, the reconstructed group, and the non-reconstructed group.(82 men,118 women, their mean age-72.2). Each member of two groups were to answer the following questions regarding FIM questionnaire, (the hall-ways, stairs, living room, kitchen, bathroom, restroom, and the entrance). The non-reconstructed group who did the remodeling of their entrance, living room, was higher in FIM score than the reconstructed group. The non-reconstructed group\u27s score were significantly lower than the constructed group who did not remodel their bathroom, restroom, hall-way, stairs and kitchen. Thus, remodeling of their home is most important element of maintaining their mental and physical functions of daily living