[老年精神科日间医院项目抑郁症患者的临床和社会评价]。

IF 1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
M Zabala Baquedano, M Echeverría Echeto, C Rubio Ortega, A Goñi Sarriés, G Jusué Erro
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引用次数: 0

摘要

背景:本研究的目的是根据HoNOS+65量表确定严重抑郁症状(GDS>9)患者的问题,评估部分住院治疗方案减轻严重抑郁症状的有效性,并确定独立的预测因素。方法:对西班牙潘普洛纳老年精神科日间医院(HDPG)治疗的抑郁症患者进行前后研究。在入院和出院时比较HoNOS+65、MMSE、GDS、BARTHEL、ALSAR和COTE评分,并确定严重抑郁症状未改善的预后因素。结果:81例患者中女性占75.3%,平均年龄69.9岁(范围:57 ~ 88岁)。出院时,只有25.9%的患者存在严重抑郁症状,他们在HoNOS+65总分和COTE量表上显著改善,但身体恶化问题仍存在,认知问题增加。结论:HDPG方案对重度抑郁症状患者有积极影响。临床和社会的改善支持HDPG格式作为一个适当的替代护理老年患者严重的抑郁症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Clinical and social evaluation of depressed patients in a Psychogeriatric Day Hospital program].

Background: The aim of this study was to identify the problems of patients with severe depressive symptoms (GDS>9) according to the HoNOS+65 scale, to evaluate the effectiveness of a partial hospitalization program to reduce severe depressive symptoms, and to identify independent predictors.

Methods: Pre-post study of patients with depression treated at the psychogeriatric Day Hospital (HDPG) of Pamplona (Spain). The scores obtained on the HoNOS+65, MMSE, GDS, BARTHEL, ALSAR, and COTE scales were compared at admission and discharge, and the prognostic factors for no improvement of severe depressive symptoms were determined.

Results: The 75.3% of the 81 patients were women, with a mean age of 69.9 years (range: 57-88). At discharge, severe depressive symptoms only remained for 25.9%, who significantly improved on the HoNOS+65 total and COTE scales while problems of physical deterioration were maintained and cognitive ones increased. Patients with GDS <9 at discharge showed significant reductions in all the problems presented at admisión, except for the level of dependency (Barthel). On admission, the patiens who did not improve showed more severe despressive symptoms and greater behavioral and social problems: the three variables were independent predictors for no improvement of severe depressive symptoms.

Conclusions: The HDPG program had a positive impact on patients with severe depressive symptoms. The clinical and social improvement achieved supports the HDPG format as an adequate alternative for the care of elderly patients with severe depressive symptoms.

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来源期刊
Anales Del Sistema Sanitario De Navarra
Anales Del Sistema Sanitario De Navarra 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.30
自引率
30.00%
发文量
88
审稿时长
>12 weeks
期刊介绍: La revista Anales del Sistema Sanitario de Navarra es una revista de contenido médico sanitario de carácter generalista. En ella tienen cabida artículos referidos a temas de salud/enfermedad en general, salud pública, administración y gestión sanitaria y Atención Primaria de salud.
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