Utilidad de la “Escala de Observación Enfermera de la Intensidad Sintomática” en Salud Mental

Beatriz Giraldo Baena

Beatriz Giraldo Baena Unidad de Gestión Clínica de Salud Mental, Hospital Universitario Virgen del Rocío (Sevilla, España)

Palabras clave: Salud mental, Enfermera, Escala, Medición, Sintomatología

Key-words: Mental health, Nurse, Scale, Measurement, Symptomatology

Resumen

Objetivo principal: El objetivo de este estudio fue analizar la utilidad de la escala The nursing observed illness intensity scale en una muestra de 60 pacientes ingresados en la Unidad de Hospitalización de Salud Mental del Hospital Universitario Virgen del Rocío (Sevilla). Metodología: Se ha utilizado la escala validada The nursing observed illness intensity scale, diseñada para medir la mejora del comportamiento y la reducción de la sintomatología en el paciente psiquiátrico ingresado en una unidad de hospitalización de Salud Mental, y que consta de 5 dimensiones. Resultados principales: Los resultados revelan la eficacia de la escala para la monitorización de la evolución y gravedad de síntomas de los pacientes, convirtiéndose en un buen instrumento clínico y una útil herramienta de investigación. Conclusión principal: Sería recomendable realizar más estudios al respecto para enfocar la actuación del profesional de enfermería en una unidad de hospitalización de Salud Mental.

Abstract

Objective: The objective of this study was to analyze the usefulness of the The nursing observed illness intensity scale in 60 patients admitted to the Psychiatric Hospitalization Unit of the Hospital Universitario Virgen del Rocío (Seville). Methods: The validated five-item scale called The nursing observed illness intensity scale was used in the study. This scale was designed to measure improvement of behavior and reduction of symptomatology in patients admitted to acute psychiatric wards. Results: The results reveal the effectiveness of the scale for monitoring the evolution and severity of psychiatric symptoms, thus becoming a useful tool for clinical and research purposes. Conclusions: It would be advisable to carry out more studies to focus on nursing professional performance in psychiatric wards.

Bibliografía

1. Bowers L, Brennan G, Ransom S, Winship G, Theodoridou C. The nursing observed illness intensity scale (NOIIS). J Psy-chiatrMent Health Nurs. 2011 Feb; 18(1): 28-34.
2. López O, Caballero MJ. Guía de actuación enfermera en las Unidades de Hospitalización de Salud Mental. Rev. Hygia. 2015; 90: 70-74.
3. Lozano V, Musallam A, Álvarez M, Romero A, Fernández E, Torres MD, et al. Validación española de la Escala de Observa-ción Enfermera de la Intensidad Sintomática en unidades de hospitalización psiquiátrica (NOIIS). Psiq Biol. 2016; 23(2): 54-9.
4. Jones J, Nolan P, Bowers L, Simpson A, Wittington R, Hackney D, et al. Psychiatric wards: places of safety? J PsychiatrMent Health Nurs. 2010 Mar; 17(2): 124-30.
5. Lauge L, Pedersen L, Buus N. Coping with Violence in Mental Health Care Settings: Patient and Staff Member Perspectives on De-escalation Practices. Arch PsychiatrNurs. 2016 Oct; 30(5): 499-507.
6. Bowers L, Douzenis A, Galeazzi GM, Forghieri M, Tsopelas C, Simpson A, et al. Disruptive and dangerous behaviour by pa-tients on acute psychiatric wards in three European centres. Soc Psychiatry Psychiatr Epidemiol. 2005 Oct; 40(10): 822-28.
7. Adeleke J, Donald B, Major D, Onasoga O, Babafemi A. Evaluation of the utilization of nursing process and patient outcome in psychiatric nursing: Case study of psychiatric Hospital Rumuigbo, Port Harcourt. Adv. Appl. Sci. Res. 2013 Jan; 4(5): 34-43.
8. Theodoridou C, Bowers L, Brennan G, Gilbert D, Winship G. The measurement of psychotic acuity by nursing staff. J Psy-chiatrMent Health Nurs. 2009 Apr; 16(3): 234-41.
9. Stewart D, Bowers L. Inpatient verbal aggression: content, targets and patient characteristics. J PsychiatrMent Health Nurs. 2013 Apr; 20(3): 236-43.
10. McGorry PD, Goodwin RJ, Stuart GW. The Development, Use, and Reliability of the Brief Psychiatric Rating Scale (Nursing Modification) – An Assessment Procedure for the Nursing Team in Clinical and Research Settings. Compr Psychiatry. 1988 Nov-Dec; 29(6): 575-87.
11. Acorn S. Use the brief psychiatric rating scale by nurses. J Psychosoc Nurs Ment Halth Ser. 1993 May; 31(5): 9-12.
12. Theodoridou C, Bowers L, Brenna G, Gilbert D, Winship G. The measurement of psychotic acuity by nursing staff. J Psychiatr Ment Health Nurs. 2009 Apr; 16(3): 234-41.
13. Zuardi AW, Loureiro SR, Rodrigues CRC. Reliability, validity and factorial dimensions of the Interactive Observation Scale of Psychiatric Inpatients. Acta Psychiatr Scand. 1995 May; 91(4): 247-51.
14. Lentz RJ, Paul GL, Calhoun JF. Reliability and validity of three measures of functioning with “hard-core” chronic mental patients. J Abnorm Psychol. 1971 Aug; 78(1): 69-76.
15. Overall JE, Rhoades HM. The Nurses Evaluation Rating Scale (NERS). J Clin Psychol. 1986 May; 42(3): 454-66.
16. Pedrao LJ, Hallak JEC, Bernardo SA, Zurdi AW. Reliability and validity of the interactive observation scale for psychiatric inpatients pplied by nursing aides in daily ward practice. Braz J Med Biol Res. 2001 Jul; 34(7): 939-48.
17. Lyall D, Hawley C, Scott K. Nurses’ Observation Scale for Inpatient Evaluation: reliability update. J Adv Nurs. 2004 May; 46(4): 390-4.
18. Margari F, Matarazzo R, Casacchia M, Roncone R, Dieci M, Safran S, et al. Italian validation of MOAS and NOSIE: a useful package for Psychiatric assessment and monitoring of Aggressive behaviours. Int J Methods Psychiatr Res. 2005 Jan; 14(2): 109-18.
19. Philip AE. A Note on the Nurses´Observation Scale for In-patient Evaluation (NOSIE). Brit J Psychiat. 1973 Jun; 122(570): 595-6.

Utilidad de la “Escala de Observación Enfermera de la Intensidad Sintomática” en Salud Mental

Usefulness of “The Nursing Observed Illness Intensity Scale” in Mental Health

Resumen

Abstract

Bibliografía