ingest
cdrApp
2017-07-06T12:16:16.885Z
f47fee2b-b335-4530-8fc6-0075e2c9b39d
modifyDatastreamByValue
RELS-EXT
cdrApp
2017-07-06T12:27:34.620Z
Setting exclusive relation
modifyDatastreamByValue
RELS-EXT
fedoraAdmin
2017-07-06T12:56:40.185Z
Setting exclusive relation
modifyDatastreamByValue
RELS-EXT
fedoraAdmin
2017-07-06T12:56:48.597Z
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addDatastream
MD_TECHNICAL
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2017-07-06T12:56:49.099Z
Adding technical metadata derived by FITS
modifyDatastreamByValue
RELS-EXT
fedoraAdmin
2017-07-06T12:57:05.363Z
Setting exclusive relation
addDatastream
MD_FULL_TEXT
fedoraAdmin
2017-07-06T12:57:13.972Z
Adding full text metadata extracted by Apache Tika
modifyDatastreamByValue
RELS-EXT
fedoraAdmin
2017-07-06T12:57:30.697Z
Setting exclusive relation
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-01-25T01:14:22.868Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-01-27T02:11:07.857Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-03-13T21:43:07.493Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-05-16T19:23:23.038Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-07-10T20:17:51.209Z
modifyDatastreamByValue
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cdrApp
2018-07-17T16:33:41.379Z
modifyDatastreamByValue
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cdrApp
2018-08-02T16:32:41.900Z
modifyDatastreamByValue
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cdrApp
2018-08-08T15:59:40.072Z
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cdrApp
2018-08-14T20:21:42.222Z
modifyDatastreamByValue
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cdrApp
2018-08-16T16:09:08.847Z
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cdrApp
2018-09-21T13:44:22.619Z
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cdrApp
2018-09-26T16:36:06.977Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-10-10T16:58:14.070Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2018-10-11T17:30:38.087Z
modifyDatastreamByValue
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cdrApp
2019-02-28T00:42:52.268Z
modifyDatastreamByValue
MD_DESCRIPTIVE
cdrApp
2019-03-19T20:00:33.675Z
Letha
Joseph
Author
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness.
Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process.
Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size.
Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
Spring 2017
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing
depression. Comorbid depression in patients with diabetes affects their health-related
quality of life, diabetes self-management, and health care utilization. The purpose of
this study was to examine the feasibility of screening for depression in patients with
diabetes while they were hospitalized for medical illness. Methods: The electronic health
records of 193 patients admitted to medical units at a local facility from July 2016 to
December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2
diabetes and with glycated hemoglobin above 7% were consented and screened for depression
using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for
depression were enrolled in the study. The researcher alerted the medical provider via the
electronic medical record about the patients with depression symptoms and the provider
discussed options for management of depression with the patient and initiated treatment.
The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes
Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the
hospital. Five patients completed the study. At the completion of the study, the
hospitalist team providers and the patients answered survey questions about the process.
Results: The process of screening for depression at admission, notifying the provider by
way of electronic medical record that the patient screened positive for depression with
suggestions for medication and psychiatric counseling was feasible and acceptable to
providers. Patients also felt the program was acceptable and helped them get the
assistance they needed for depression. Statistics are not reported due to the small sample
size. Conclusion: The results suggest that screening for depressive symptoms while
admitted with medical illness was feasible and acceptable to patients and providers. A
randomized controlled pilot study will be conducted next to establish
efficacy.
Spring 2017
2017
Nursing
depression, diabetes, health related quality of life,
self-management
eng
Doctor of Nursing Practice
Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting
institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
Spring 2017
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017-05
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
University of North Carolina at Chapel Hill
Degree granting institution
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression; diabetes; health related quality of life; self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
University of North Carolina at Chapel Hill
Degree granting institution
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression, diabetes, health related quality of life, self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression; diabetes; health related quality of life; self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Letha
Joseph
Creator
School of Nursing
Management of Comorbid Depression in Veterans with Diabetes
Objective: Patients with diabetes have an increased risk of developing depression. Comorbid depression in patients with diabetes affects their health-related quality of life, diabetes self-management, and health care utilization. The purpose of this study was to examine the feasibility of screening for depression in patients with diabetes while they were hospitalized for medical illness. Methods: The electronic health records of 193 patients admitted to medical units at a local facility from July 2016 to December 2016 were assessed for the presence of diabetes. Twenty-one patients with type 2 diabetes and with glycated hemoglobin above 7% were consented and screened for depression using the Patient Health Questionnaire (PHQ-2). Seven patients with positive symptoms for depression were enrolled in the study. The researcher alerted the medical provider via the electronic medical record about the patients with depression symptoms and the provider discussed options for management of depression with the patient and initiated treatment. The patients answered the PHQ-9, the Veterans RAND-12 and the Stanford Diabetes Questionnaire at baseline and at eight weeks and 12 weeks after discharge from the hospital. Five patients completed the study. At the completion of the study, the hospitalist team providers and the patients answered survey questions about the process. Results: The process of screening for depression at admission, notifying the provider by way of electronic medical record that the patient screened positive for depression with suggestions for medication and psychiatric counseling was feasible and acceptable to providers. Patients also felt the program was acceptable and helped them get the assistance they needed for depression. Statistics are not reported due to the small sample size. Conclusion: The results suggest that screening for depressive symptoms while admitted with medical illness was feasible and acceptable to patients and providers. A randomized controlled pilot study will be conducted next to establish efficacy.
2017
Nursing
depression; diabetes; health related quality of life; self-management
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Diane
Berry
Thesis advisor
Diane
Berry
Thesis advisor
Ann
Jessup
Thesis advisor
Jean
Davison
Thesis advisor
text
2017-05
Joseph_unc_0153D_16915.pdf
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