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

Application effect of hospital-community-family ternary linkage management in patients with post-stroke depression

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。

Objective: To explore application effect of hospital-community-family ternary linkage management in patients 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. Results: 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 intervention, P =0.001 all;compared with routine treatment group after three-month intervention,there were significant 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 patients 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.