摘要
目的探讨社区综合干预对老年抑郁患者抑郁状况的影响。方法将符合纳入排除标准的共336位老年抑郁患者,随机分为对照组(168人)和干预组(168人)。两组均坚持原抑郁治疗外,干预组接受社区心理综合干预。在入组时及干预后第6、12、24和48周末分别随访以汉密顿抑郁量表和健康调查问卷评价。结果两组患者汉密顿抑郁量表评分在干预后第6、12、24和48周末存在差异,并均有统计学意义。经过48周的社区综合干预,干预组患者的健康相关生活质量的各个维度分数相对于干预前均有升高,其中MH、RE、VT、GH、BP及SF6个维度的分数差异有统计学意义。结论应用社区综合干预对老年抑郁患者的抑郁状况及健康相关的生活质量有改善效果。
OBJECTIVE To explore the effect of community-based comprehensive intervention on senile depression. METHODS According to the inclusion and exclusion criteria, 336 community elder people with depression were chosen, who were assigned to intervention group (n=168) and control group (n=168) randomly. The two groups accepted routine treatment, in addition, the intervention group accepted community-based psychological comprehensive intervention of 48 weeks. RESULTS The differences of HAMD scores between the ~ntervention group and control group, measured at the end of the 6th, 12th, 24th and 48th week had statistical significant. After the community-based psychological comprehensive intervention, the scores of the intervention group increased and the scores change in MH, RE, VT, GH, BP and SF had statistical significant. CONCLUSION The community-based psychological comprehensive intervention could palliate the depression and improve the quality of life of elder people with depression.
出处
《中国初级卫生保健》
2013年第7期109-111,共3页
Chinese Primary Health Care
关键词
抑郁症
社区
综合干预
depression
community
comprehensive intervention