基于智能手机的医院-家庭过渡护理对老年抑郁症患者症状负担及生活质量的影响

IF 1.3 Q3 PSYCHIATRY
Alpha psychiatry Pub Date : 2025-04-22 eCollection Date: 2025-04-01 DOI:10.31083/AP39894
Jianghong Tang, Shilin Zhu, Yuxiang Huang
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引用次数: 0

摘要

目的:探讨基于智能手机的医院-家庭过渡护理对老年抑郁症患者症状负担和生活质量的影响。方法:回顾性分析我院2022年1月至2024年1月收治的168例老年抑郁症患者的临床资料。对照组79例(常规过渡管理),观察组89例(基于智能手机的医院-家庭过渡护理)。比较两组患者治疗前后的症状负担和生活质量。本研究采用的主要统计方法为卡方检验和Mann-Whitney U检验。结果:出院前,两组患者老年抑郁量表(GDS)评分、P300潜伏期、P300振幅、蒙特利尔认知评估(MoCA)评分及世界卫生组织生活质量(WHOQOL)-BREF各域评分差异均无统计学意义(p < 0.05)。5个月后,观察组GDS评分显著低于对照组(p = 0.016), P300潜伏期显著低于对照组(p < 0.001), P300振幅显著高于对照组(p < 0.001), MoCA评分显著高于对照组(p = 0.001),生理、心理、环境领域得分显著高于对照组(p < 0.001),社会关系领域得分差异无统计学意义(p < 0.05)。结论:基于智能手机的医院-家庭过渡护理可改善老年抑郁症患者的症状负担、认知功能和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Smartphone-Based Hospital-Family Transitional Care on Symptom Burden and Quality of Life in Elderly Patients with Depression.

Objective: To explore the effects of smartphone-based hospital-family transitional care on symptom burden and quality of life in elderly patients with depression.

Methods: This study retrospective analyzed the clinical data of 168 elderly patients with depression admitted to our hospital from January 2022 to January 2024. A total of 79 patients were included in the reference group (routine transitional management), and 89 subjects were included in the observation group (smartphone-based hospital-family transitional care). The symptom burden and quality of life in both groups before and after management were compared. The main statistical methods used in this study were the chi-squared test and the Mann-Whitney U test.

Results: Before discharge, no significant difference existed in Geriatric Depression Scale (GDS) scores, P300 latency, P300 amplitude, Montreal Cognitive Assessment (MoCA) scores, and the scores of each domain in the World Health Organization Quality of Life (WHOQOL)-BREF between the two groups (all p > 0.05). After 5 months, the observation group demonstrated a significantly lower GDS score (p = 0.016), shorter P300 latency (p < 0.001), higher P300 amplitude (p < 0.001), higher MoCA score (p = 0.001), and significantly higher scores in physiological, psychological, and environmental domains than the reference group (p < 0.001), with no significant difference in social relation domain (p > 0.05).

Conclusions: Smartphone-based hospital-family transitional care can improve the symptom burden, cognitive function, and quality of life of elderly patients with depression.

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