全科医生团队干预模式应用于卒中后抑郁患者临床疗效评估  

To evaluate the clinical efficacy of general practitioner team intervention model in patients with post-stroke depression

作　　者：郭梦 渠井泉 邬军锋 GUO Meng;QU Jingquan;WU Junfeng(Community Health Service Center of Shanyang Town,Jinshan District,Shanghai 201508;Department of Neurology,Jinshan Hospital,Fudan University,Shanghai 201508,China)

机构地区：[1]上海市金山区山阳镇社区卫生服务中心,201508 [2]复旦大学附属金山医院神经内科,201508

出　　处：《中国老年保健医学》2024年第5期141-144,共4页Chinese Journal of Geriatric Care

摘　　要：目的评估全科医生团队干预模式对社区卒中后抑郁患者的临床疗效。方法选取上海市山阳镇辖区内2022年1月至12月期间卒中后抑郁患者96例,按照随机数字法分为两组,对照组48例,观察组48例。对照组按社区常规干预方式进行随访,观察组在常规社区干预的基础上进行全科医生团队干预,评价治疗效果。结果干预前两组患者的各项指标均无明显的差别,P>0.05,治疗12个月后,观察组的总疗效率明显高于对照组(P<0.05)。经3个月、6个月、12个月的干预后,观察组抑郁程度(HAMD)明显低于对照组(P<0.05),观察组神经功能(NIHSS)评分明显低于对照组(P<0.05),观察组肢体功能(FMA)评分明显高于对照组(P<0.05),观察组生活质量(Barther)评分明显高于对照组(P<0.05)。结论通过对社区卒中后抑郁患者实施全科医生团队干预,可以有效改善卒中后抑郁患者的负性情绪,调整自身精神状态,从而促进患者的早期康复,提高生活质量。Objective To evaluate the clinical effect of general practitioner team intervention mode on community patients with post-stroke depression.Methods A total of 96 patients with poststroke depression in Shanyang Town of Shanghai from January to December 2022 were selected and divided into two groups according to random number method,48 cases in the control group and 48 cases in the observation group.The control group was followed up according to the routine intervention in the community,and the observation group was followed by the intervention of the general practitioner team on the basis of the routine intervention in the community to evaluate the treatment effect.Results Before intervention,there were no significant differences in all indexes between the two groups(P>0.05).After 12 months of treatment,the total curative effect of the observation group was significantly higher than that of the control group(P<0.05).After 3 months,6 months and 12 months,the degree of depression(HAMD)in the observation group was significantly lower than that in the control group(P<0.05).The neurological function(NIHSS)score of the observation group was significantly lower than that of the control group(P<0.05).The limb function(FMA)score of the observation group was significantly higher than that of the control group(P<0.05).The score of quality of life(Barther)in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The study shows that the implementation of general practitioner team intervention in community patients with post-stroke depression can effectively improve the negative emotions of patients with post-stroke depression and adjust their mental state,so as to promote the early recovery of patients and improve the quality of life.

关 键 词：全科医生团队 综合干预 卒中后抑郁 临床疗效 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R749.4[医药卫生—临床医学]