家庭医师服务模式在抑郁症患者中的应用

Application of family doctor service model in patients with depression

目的:通过对社区抑郁症患者应用家庭医师服务模式,评价其对抑郁症患者的干预效果。方法:选择2014年10月~2016年3月70例抑郁症患者,并随机等分为对照组和观察组,对照组采取常规的院外康复指导;观察组患者在常规治疗护理基础上进行为期6个月的家庭医护人员上门服务。观察患者6个月后抑郁发生情况以及6个月前后WHO生存质量量表评分情况。结果:观察组6个月后抑郁发生少于对照组(P<0.05);两组患者6个月前生存质量各量表评分比较无明显差异(P>0.05),6个月后,观察组患者的各量表评分明显低于对照组患者,具有统计学意义(P<0.05)。结论:对院外的抑郁症患者进行家庭医师服务模式,可明显改善患者生存质量,降低其抑郁程度。

Objective To evaluate the interference effect on the depression patients through the service model of applying family doctor service model for thedepression patients in the community. Methods ： Selected 70 depression patients from October 2014 to March 2016, and they were divided into control groupand observation group randomly, the conventional out - hospital rehabilitation guidance was adopted for the patients in the control group, and 6 - monthfamily doctor and nurse door - to - door service was adopted for the patients in the observation group on the basis of the control group. The depression of pa-tients after 6 months and WHO survival quality scale scores before and after 6 months were observed. Results ： The occurring of depression in the observationgroup was less than that in the control group （ P 〈 0.05 ） ; it was not statistically significant for the comparison of survival quality scale scores of patients inthe two groups （P 〉 0.05 ） ; after 6 months, the scale scores of patients in the observation group were significantly lower than those of the patients in thecontrol group, and it was statistically significant （ P 〈 0.05 ）. Conclusion ： The family doctor service model for the depression patients outside hospital couldimprove the patients＇ survival quality and reduce their depression degree.