抑郁症基于评估的治疗依从性研究

Study on the compliance of evaluation-based treatment of depression

目的探讨基于评估的治疗管理模式对首发抑郁症患者治疗依从性的影响。方法 2015年1月～2017年12月在我院门诊就诊的首发抑郁症240例,采用随机原则分为干预组和对照组,对照组仅给予常规门诊治疗,干预组应用病人健康自评量表-9(PHQ-9)的基于评估的治疗管理,观察治疗12个月时的依从性情况。结果两组患者治疗12个月末ADCQ医患关系认知、自主性维持、积极信念3个维度分和总分存在显著性差异(P<0.01),在家人支持维度两组患者评分无统计学差异(P>0.05)。结论接受基于评估的治疗管理模式的首发抑郁症患者的治疗依从性优于自然状态治疗的抑郁症患者,值得推广。

Objective To investigate the effect of evaluation-based treatment and management model on treatment compliance in the patients with first-episode depression. Methods 240 cases of first-episode depression who were diagnosed in the outpatient clinic in our hospital from January 2015 to December 2017 were selected and were divided into the intervention group and the control group according to the randomization principle. The control group was only given regular outpatient treatment. The intervention group was given evaluation-based treatment and management using the Patient Health Self-evaluation Scale-9(PHQ-9). The compliance at 12 months of treatment was observed. Results There were significant statistical differences between the two groups in the scores of three dimensions of ADCQ recognition between doctors and patients, autonomy maintenance, and positive beliefs and the total score at the end of 12 months of treatment (P<0.01). There was no statistically significant difference in the scores between the two groups in the family support dimension(P>0.05). Conclusion The treatment compliance in the patients with first-episode depression who receive the evaluation-based treatment and management model is superior to that in the patients with natural-state depression and is therefore worthy of promotion.