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预防医学  2016, Vol. 28 Issue (5): 469-472    
  论著 本期目录 | 过刊浏览 | 高级检索 |
基于评估的治疗管理模式对抑郁症患者的疗效研究
赵世苗, 秦国兴, 陈军良, 甘建光
绍兴市第七人民医院,浙江绍兴 312000
Astudyontheeffectofmeasurement-basedcareusingPatientHealth
QuestionnaireDepressionScaleonpatientswithdepression
ZHAO Shi-miao, QIN Guo-xing, CHEN Jun-liang, GAN Jian-Guang
全文: PDF(604 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的分析应用病人健康问卷-9(PHQ-9)的基于评估的治疗管理模式对首发抑郁症患者疗效。方法选择2013年11月1日—2014年12月31日在绍兴市第七人民医院门诊就诊的首发抑郁症患者120例,随机分为干预组和对照组。对照组仅接受普通门诊治疗,干预组接受应用PHQ-9的基于评估的治疗管理模式,比较两组在基线及治疗2个月(急性期)、6个月(中期)和12个月(长期)的抑郁程度、社会功能和复发情况。结果干预组治疗6个月和12个月的汉密尔顿抑郁量表-17(HAMD17)均值(7.58±4.86和5.34±5.32)均低于对照组(9.25±4.05和7.25±4.75)(P<0.05)。干预组治疗12个月后社会功能4个领域评分亦明显优于对照组(P<0.05),复发次数也少于对照组(P<0.05)。结论接受应用PHQ-9的基于评估的治疗管理模式的首发抑郁症门诊患者在中长期疗效、社会功能和复发情况方面均优于未接受慢性病管理的抑郁症患者。
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赵世苗
秦国兴
陈军良
甘建光
关键词 抑郁症PHQ-9基于评估的治疗    
Abstract:ObjectiveThis study aims to explore the effect of measurement-based care using Patient Health Questionnaire Depression Scale(PHQ-9) on patients with onset depression.MethodsA total of 120 patients with onset depression were randomly assigned to the test group and control group. The test group was treated with measurement-based care using PHQ-9 and the control group maintains normal treatment. We assessed the HAMD17 score and social function of all patients on acute phase(after two month treatment), middle phase(after six month treatment) and long phase(after one year treatment).ResultsThe mean HAMD17 score of patients in the test group was lower than the control group at 6 month and 12month(P<0.01), and the difference of the reduced score at 12month was significant (P<0.01). The patients has better social function score and lower recurrence rate in the test group than that of the control group (P<0.05).ConclusionThe onset depressive patient who treated with measurement-based care using PHQ-9 shows better effect and social function compared with those with normal outpatient treatment.
Key wordsShaoxing7thPeople'sHospital    Shaoxing    Zhejiang    312000    China
收稿日期: 2015-05-26      修回日期: 2015-12-02      出版日期: 2016-05-10
中图分类号:  R749.4  
通信作者: 赵世苗,E-mail:425866407@qq.com   
作者简介: 赵世苗,本科,主治医师,主要从事精神科、心身障碍科工作
引用本文:   
赵世苗, 秦国兴, 陈军良, 甘建光. 基于评估的治疗管理模式对抑郁症患者的疗效研究[J]. 预防医学, 2016, 28(5): 469-472.
QuestionnaireDepressionScaleonpatientswithdepression. Astudyontheeffectofmeasurement-basedcareusingPatientHealth. Preventive Medicine, 2016, 28(5): 469-472.
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http://www.zjyfyxzz.com/CN/      或      http://www.zjyfyxzz.com/CN/Y2016/V28/I5/469
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