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基于多学科团队协作的延续性干预在老年脑卒中后 抑郁患者中的应用效果
文丽刘忠纯沈晶
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目的 探究基于多学科团队协作的延续性干预在老年脑卒中后抑郁症患者中的应用效 果。方法 取 2017 年 11 月至 2019 年 1 月于我院收治的老年脑卒中后抑郁症患者 106 例,随机分为研究 组(53 例)与对照组(53 例)。对照组予以常规院内医疗护理措施及出院健康指导,在此基础上,研究组给 予基于多学科团队协作的延续性干预。比较两组干预前后的生活质量、抑郁程度、功能失调性状况、应 激反应、服用依从性及满意度情况的差异。结果 干预后,两组生存质量测定量表简表(QOL-BREF)评 分均明显高于干预前,且研究组较对照组更高(P< 0.01);两组汉密尔顿抑郁量表(HAMD)、促肾上腺皮 质激素(ACTH)、皮质醇均明显低于干预前,且研究组较对照组更低(P< 0.01);两组功能失调性评定量 表(DAS)各因子数值均明显高于干预前,且研究组较对照组更高(P< 0.01)。结论 基于多学科团队协 作的延续性干预能有效缓解老年脑卒中后抑郁症的心理应激反应,改善其抑郁状态和功能失调性状况, 有助于促进患者提高生活质量。
基金项目:国家重点研发计划项目(2018YFC1314600)
Effect of continuous intervention based on multidisciplinary team collaboration in elderly patients with post-stroke depression
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Abstract:
Objective To explore the effect of continuous intervention based on multidisciplinary team collaboration in elderly patients with post-stroke depression. Methods A total of 106 elderly patients with post-stroke depression who were admitted to our hospital from November 2017 to January 2019 were randomly divided into a study group (53 cases) and a control group (53 cases). The control group was given routine inhospital medical care measures and discharged health guidance. In addition to this, the study group was given continuous intervention based on multidisciplinary team collaboration. Differences in quality of life, depression, dysfunctional status, stress response, compliance, and satisfaction were compared between the two groups before and after the intervention. Results After the intervention, the two groups' World Health Organization Quality of Life (QOL-BREF) scores were significantly higher than before the intervention, and the study group was higher than the control group (P < 0.01); the Hamilton Depression Scale (HAMD), Adrenocorticotropic Hormone (ACTH), Cortisol (Cs) in the two groups were significantly lower than those before intervention, and the study group was lower than those in the control group (P< 0.01); the values of Dysfunction Assessment Scale (DAS) factors of the two groups were significantly higher than those before the intervention, and the research group was higher than those of the control group (P < 0.01). Conclusions Continuous intervention based on multidisciplinary team collaboration can effectively alleviate the psychological stress response of post-stroke depression, improve the depression and dysfunction conditions and improve patients' quality of life.

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