医院-社区-家庭一体化服务应用于抑郁症患者的效果评价

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（P<0.01）；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（P<0.01）。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。%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 (P<0.01). The scores of physiological and psychological dimensions, and the general level of WHOQOL-BREF were higher than pre-intervention (P<0.01). 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.