摘要
目的分析社区老年抑郁症患者中慢性病病案管理模式的应用效果。方法选取驻马店市中心医院2019年1月至2020年11月收取并痊愈出院的老年抑郁症患者80例,按数字随机表法分为两组,即对照组40例,常规出院管理;观察组40例,基于对照组采用慢性病病案管理。比较两组管理前后服药依从性、治疗态度、抑郁症状、自杀意识及护理满意度。结果观察组服药依从率(95.00%)高于对照组(72.50%),差异有统计学意义(P<0.05)。观察组干预后治疗态度问卷表(ITAQ)评分高于对照组,老年抑郁量表(GDS)评分低于对照组,差异有统计学意义(P<0.05)。观察组干预后自杀意念明显低于对照组,差异有统计学意义(P<0.05)。两组护理后,护理满意度(95.00%VS 87.50%)比较,差异无统计学意义(P>0.05),但观察组非常满意度(60.00%)高于对照组(32.50%),差异有统计学意义(P<0.05)。结论对社区老年抑郁症患者采用慢性病病案管理,可提高患者用药依从性。
Objective To analyze the application effect of management model of chronic disease record in elderly depression patients in the community.Methods A total of 80 elderly patients with depression who were collected and discharged from Zhumadian Central Hospital from January 2019 to November 2020 were randomly divided into two groups according to the method of digital randomization,40 patients in the control group,with routine discharge management;There were 40patients in the observation group,and the chronic disease record management was adopted based on the control group.The compliance,treatment attitude,depressive symptoms,suicide awareness and nursing satisfaction of the two groups before and after administration were compared.Results The compliance rate of the observation group(95.00%)was significantly higher than that of the control group(72.50%),the difference was statistically significant(P<0.05).After intervention,the score of insight and treatment attitude questionnaire(ITAQ)in the observation group was higher than that in the control group,and the score of geriatric depression scale(GDS)was lower than that in the control group,the difference was statistically significant(P<0.05).Suicide ideation in the observation group was significantly lower than that in the control group after intervention,the difference was statistically significant(P<0.05).After nursing,there was no statistically significant difference in nursing satisfaction between the two groups(95.00%vs 87.50%)(P>0.05),but the observation group’s hihgly satisfaction(60.00%)was higher than the control group’s(32.50%),and the difference was statistically significant(P<0.05).Conclusion The use of chronic disease record management for elderly depression patients in the community can improve the compliance of patients with medication.
作者
马丽娜
李士龙
MA Lina;LI Shilong(Department of Medical Records Management,Zhumadian Central Hospital,Henan Province,Zhumadian Henan 463000,China;Medical Department,the Second People's Hospital of Zhumadian,Henan Province,Zhumadian Henan 463000,China)
出处
《临床研究》
2023年第3期191-194,共4页
Clinical Research
关键词
社区
老年抑郁症
慢性病病案管理
community
elderly depression
chronic disease record management
