Biomedical subjects

Dieter Benninghoven

Publications and source records attributed to Dieter Benninghoven.

3 recordsLinked to original sources

PubMed2004

[The goals of nursing in inpatient psychosomatic medicine - an empirical approach].

Nursing plays an essential part in the acute psychosomatic inpatient treatment. The goals, which the nurses aim at while taking care of their patients, have, however seldom been investigated. This first systematic inquiry into the goals, which care at the clinic for psychosomatic medicine bears in mind, was carried out on a sample of 84 patients. These goals were evaluated and compared with different common outcome measures. Carers, first of all, aim at goals referring to the symptom, such as improving the patients' eating habits. Apart from that they mainly focus on goals not directly connected to the patients' physical condition, such as helping to improve the patients' self esteem. In some cases the nurses' estimate concerning the success of the treatment corresponds to that of the patients' to a greater extent than to that of the patients' personal therapist. Nursing in inpatient psychosomatic medicine extends much further than the demands of care normally imply. The knowledge concerning the patients' mental condition, which the nurses have according to this inquiry, ought to be used within the treatment.

Adult↗

PubMed2004

[Coherence in case conceptualizations--concept and evaluation of a computer supported training program].

In several domains of professional expertise it has been found that experts' action is based on a deep understanding of the problems they act on, and also the outcome of psychotherapies depends on the quality of the view which therapists develop of their patients. Unfortunately there are signs that the quality of case conceptualizations is suboptimal in many instances, even after special (traditional) training. This was reason for developing an innovative program for the training of partial abilities required to develop differentiated case conceptualizations. In the program specifically the graphical representation of the relations a therapist sees is supported by a computer program. The program gives fast feedback on several formal aspects of the case conceptualization, among others its coherence, and supports its further elaboration. An evaluation of the program in a controlled trial with a total of 34 participating therapists showed a good acceptance and significant effects in several criteria for the quality of the representation of the analyzed cases.

Computer-Assisted Instruction↗

PubMed2003

[The Luebeck Interview for Psychosocial Screening (LIPS)--a validation study with patients suffering from coronary artery disease].

Identifying patients in cardiology who are able to benefit from more detailed psychosocial diagnostics or interventions is still problematic in every day hospital care. Existing psychosocial screening instruments--either self-evaluation questionnaires and evaluation interviews carried out by doctors--are discussed. A new screening instrument for evaluating patients in cardiology is presented: The Luebeck Interview for Psychosocial Screening (LIPS). With help of LIPS patients are evaluated by their doctor through a short semistructured interview referring to the patients' psychosocial situation. Test statistical data of the instrument gained through 194 patients are presented. For a subgroup of 80 patients the validity for predicting their quality of life six weeks after discharge form hospital by psychosocial assessment in hospital is presented. Data on reliability and validity of LIPS appear to range from acceptable to good. Predicting quality of life by self-report inventories reaches a better fit than a prediction by LIPS as an evaluation from the doctor's perspective. The errors of the prediction by both methods are highly correlated. Further research on LIPS combined with a structured clinical Interview for mental disorders seems to be desirable.

Coronary Artery Disease↗