29 KB54 KB28 KB200220262003Bilban, MarjanTomori, Martinaštevilka:3letnik:42str. 116-121ISSN:0351-0026COBISSID:997093URN:URN:NBN:SI:doc-OUQ9QSKRslInštitut za varovanje zdravja Republike SlovenijeZdravstveno varstvodepresijadepressed patientsdružinska medicinageneral practitionerkvaliteta delapodiplomsko izobraževanjepost - graduate educationquality of workzdravnikiVpliv izobraževanja o depresiji na odnos zdravnikov splošne medicine do obravnave depresivnih bolnikov| The impact of depression education programme on general practitioners' management of depressed patients|Around 60 percent of depressed persons attend surgeries of general practitioners. Physicians are much better trained in recognizing and evaluating physical disorders than mental ones. The aim of our study is to stress the role of appropriate psychiatric knowledge and professional skills that should make general practitioners better equipped for entry into the patient's psychosocial world and, as we assume in our study, help them recognize and treat depressions. The Department of Psychiatry organised a two-day seminar on depression for general practitioners with the aim of deepening their knowledge on this mental disorder. The seminar was attended by30 general practitioners; half of them were specialists and the remainder were medical graduates. Twenty-six of them filled in a pre-seminar and a post-seminar questionnaire about treatment modalities, work capacity evaluation, etc. The majority of respondents came across depressed patients fairly frequently. Most of those polled viewed depression as an illness for which patients need comprehensive treatment and human support and encouragement; work capacity assessment was reported to be mostly based on the severity of the illness, i.e the patient's mental state at the time of examination; anti-depressant medicines and psychotherapy were the most common treatment modalities; and loneliness was considered the major triggering factor for depression. As a result of improved physicians' knowledge and perceptions about depression the post-training responses differed to a considerable extent from those obtained before the seminar. A considerable shift in the assessment of depression treatment efficiency was noticed. A much greater emphasis was given to the need to outline possible solutions to problems, and to help patients to accept and manifest their feelings, rather than just take advice and accept solutions from the physician. Thanks to a more profound knowledge of depression management, the work of general practitioners with depressed patients will be more successful and more effectiveOkrog 60 odstotkov depresivnih oseb pride v ambulanto splošnega zdravnika. Zdravniki so mnogo bolj usposobljeni za razpoznavanje in ocenjevanje telesnih motenj kot duševnih. Namen raziskave je izpostaviti vpliv ustreznega znanja inrazvitih strokovnih spretnosti s področja psihiatrije, ki naj bi splošnega zdravnika bolje usposobili za vstopanje v bolnikov psihosocialni svet ter, glede na predpostavke raziskave, olajšali prepoznavanje in zdravljenje depresij V organizaciji Katedre za psihiatrijo smo organizirali dvodnevni posvet o depresijah z namenom poglobitve znanja zdravnikov splošne medicine. Udeležilo se ga je 30 zdravnikov, od katerih jih je 26 odgovorilo pred in po seminarju na nekaj sklopov vprašanj o depresiji, načinu zdravljenja, ocenjevanju delazmožnosti itd. Polovica je specialistov, ostali pa imajo le dokončano Medicinsko fakulteto. Večina se jih srečuje z depresivnimi bolniki zelo pogosto. Največ anketiranih razume depresijo kot bolezen, pri kateri bolniki potrebujejo celostno obravnavo ter človeško oporo in spodbudo, ocena delazmožnosti je v najvišjem deležu odgovorov odvisna od intenzivnosti bolezni, na katero v najvišjem deležu vpliva duševno stanje pri pregledu, pri zdravljenju na prvo mesto postavljajo antidepresivna zdravila in psihoterapijo, kot sprožilni dejavnik pa je najvišje ocenjena osamljenost. Odgovori so se po seminarju zaradi poglobljenega znanja ter novih spoznanj v precejšnji meri razlikovali od tistih pred izobraževanjem. Predvsem je opazen premik v oceni učinkovitosti zdravljenja depresivnih bolnikov, kjer je bistveno večji pomen dan osvetlitvi možne rešitve problemov in pomoči, da bi sprejeli in izrazili svoja čustva, ne pa zgolj ponujanju lastnih rešitev in svetovanju. Zaradi poglobljenega znanja bo njihovo delo z depresivnimi bolnikiuspešnejše in učinkovitejšeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaInštitut za varovanje zdravja RS