医院-社区-家庭一体化服务应用于抑郁症患者的效果评价.pdfVIP

延续护理 Transitional Care 医院-社区-家庭一体化服务应用于抑郁症 患者的效果评价 王桂梅 谢红芬 罗娟 胡启梅 沈蕾 薛珊 施亮华 [ 摘 要] 目的：评价对抑郁症患者实施医院 - 社区-家庭一体化服务的效果。方法：便利选取 54 例抑郁 症患者，采用医院 -社区-家庭一体化服务模式进行随访；分别于干预前、干预6 个月末对患者进行世界卫生组 织生活质量测定量表、自杀意念自评量表测评；结果：干预6 个月末患者自杀意念自评量表中绝望、睡眠、乐观因 子优于干预前（P0.01）；生活质量量表生理领域、心理领域维度，生活质量总分优于干预前（P0.01）。结论： 医院 - 社区-家庭一体化服务模式能有效地提高抑郁症患者的生活质量，降低自杀风险，保障患者安全。 [ 关键词 ] 抑郁症；医院-社区-家庭；生活质量；自杀风险 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.07.027 The effect of implementing hospital-community-family integrated care in depression patients / WANG Guimei, XIE Hongfen, LUO Juan, HU Qimei, SHEN Lei, XUE Shan, SHI Lianghua // Zhenjiang Mental Health Center, Jiangsu province, 212005 China /// Chinese Nursing Management-2016,16(7): 977-980 [Abstract] Objective: To evaluate the effect of implementing hospital-community -family integrated care in patients with depression. Methods: The authors selected 54 depression patients, and then implemented hospital-community-family integration service to follow up the patients. WHO Quality of Life-Abbreviated Version (WHOQOL-BREF) and Suicidal Ideation of Self rating Scale (SIOSS) were used to evaluate the effects before and after 6-month intervention, respectively. Results: After 6-month intervention, the scores of three dimensions in SIOSS, named despair, sleep and optimistic factors were better than pre-intervention (P0.01). The scores of physiological and psychological dimensions, and the general level of WHOQOL-BREF were higher than pre-intervention (P0.01). Conclusion: Hospital-community-family integrated care model could effectively improve the quality of life in patients with depression, reduce the risk of suicide and ensure their safety. [Key