医院‐社区‐家庭三元联动管理在脑卒中后抑郁患者中的应用效果

摘要

To explore application effect of hospital‐community‐family ternary linkage management in pa‐tients with post‐stroke depression .Methods : A total of 92 patients with post‐stroke depression in our hospital were randomly and equally divided into routine treatment group and linkage management group (receive intervention of hospital‐community‐family ternary linkage management ) , both groups were intervened for three groups .Scores of self‐rating anxiety scale (SAS) ,self‐rating depression scale (SDS) ,36‐Item Short Form Health Survey (SF‐36) and satisfaction for medical service of patients were compared between two groups before and after intervention .Re‐sults : Compared with before treatment , there were significant reductions in scores of SAS and SDS , and significant rise in SF‐36 score and each dimension score of satisfaction for medical service in two groups after three‐month inter‐vention , P＝0.001 all ;compared with routine treatment group after three‐month intervention , there were signifi‐cant reductions in scores of SAS [ (41. 10 ± 1.73) scores vs .(38. 22 ± 1. 53) scores] and SDS [ (43. 14 ± 1.93) scores vs.(39. 44 ± 1.85) scores] , and significant rise in SF‐36 score [ (68.35 ± 4.44) scores vs .(87.64 ± 4.36) scores] and each dimension score of satisfaction for medical service of patients in linkage management group , P＝0.001 all. Conclusion : Hospital‐community‐family ternary linkage management possesses significant intervention effect on pa‐ tients with post‐stroke depression .It can significantly improve anxiety and depression emotion , quality of life and satisfaction for medical care service in these patients , which is worth extending .%目的 探讨医院‐社区‐家庭三元联动管理在脑卒中后抑郁患者中的应用效果.方法 我院的92例脑卒中后抑郁患者被随机分为常规治疗组,联动管理组(接受医院‐社区‐家庭三元联动管理),干预3个月后,比较两组患者干预前后焦虑、抑郁评分,健康调查简表(SF‐36)评分及对医生服务的满意度.结果 与治疗前比较,干预3个月后,两组患者焦虑、抑郁自评量表评分均显著下降, SF‐36量表评分和患者对医生服务满意度各项评分均显著升高(P均＝0.001) ;且与常规治疗组比较,联动管理组患者焦虑[(41.10 ± 1.73)分比(38.22 ± 1.53)分]、抑郁自评量表[ (43.14 ± 1.93)分比(39. 44 ± 1. 85)分]评分下降更显著, SF‐36量表评分[ (68.35 ± 4.44)分比(87.64 ± 4.36)分]和患者对医生服务满意度各项评分升高更显著(P均＝0.001).结论 医院‐社区‐家庭三元联动管理能够显著改善脑卒中后抑郁患者焦虑抑郁情绪,提高患者生活质量及患者对医护服务满意度,值得推广.