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首页> 外文期刊>Psychosomatics >A collaborative care depression management program for cardiac inpatients: depression characteristics and in-hospital outcomes.
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A collaborative care depression management program for cardiac inpatients: depression characteristics and in-hospital outcomes.

机译：针对心脏病患者的协作式抑郁症管理计划：抑郁症的特征和住院结局。

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Depression in cardiac patients is common, under-recognized, and independently associated with mortality.Our objectives in this initial report from a 6-month longitudinal trial were to determine whether a collaborative care program improves rates of depression treatment by discharge among patients hospitalized with acute cardiovascular disease, and to assess key clinical characteristics of depression in this cohort.This was a prospective, randomized trial comparing collaborative care and usual care interventions for depressed cardiac patients who were admitted to cardiac units in an urban academic medical center. For collaborative care subjects, the care manager performed a multi-component depression intervention in the hospital that included patient education and treatment coordination; usual care subjects' inpatient providers were informed of the depression diagnosis.The mean Patient Health Questionnaire-9 for subjects (N = 175) was 17.6 (SD 3.5; range 11-26), consistent with moderate-severe depression. The majority of subjects had depression for over one month (n = 134; 76.6%) and a prior depressive episode (n = 124; 70.8%); nearly one-half (n = 75; 42.9%) had thoughts that life was not worth living in the preceding 2 weeks. Collaborative care subjects were far more likely to receive adequate depression treatment by discharge (71.9% collaborative care vs. 9.5% usual care; p < 0.001).Depression identified by systematic screening in hospitalized cardiac patients appears was prolonged, and of substantial severity. A collaborative care depression management model appears to vastly increase rates of appropriate treatment by discharge.
机译：心脏病患者的抑郁症是常见的，未得到充分认识并与死亡率独立相关。我们在这份为期6个月的纵向试验的初次报告中的目标是确定协作治疗计划是否可以改善住院急症患者出院时抑郁症的治疗率心血管疾病，并评估该队列中抑郁症的主要临床特征。这是一项前瞻性随机试验，比较了在城市学术医学中心就诊于心脏科的抑郁症心脏病患者的协作治疗和常规护理干预措施。对于协作式护理对象，护理经理在医院进行了多方面的抑郁干预，其中包括患者教育和治疗协调;常规护理对象的住院医生被告知患有抑郁症诊断。受试者的平均患者健康问卷9（N = 175）为17.6（SD 3.5;范围11-26），与中度重度抑郁症相一致。大多数受试者抑郁症持续超过一个月（n = 134; 76.6％）和先前的抑郁发作（n = 124; 70.8％）;近一半（n = 75; 42.9％）的人认为在前两周内生活不值得。协作护理对象通过出院接受充分的抑郁治疗的可能性更高（71.9％协作护理与9.5％的常规护理; p <0.001）。通过系统筛查在住院的心脏病患者中发现的抑郁症出现时间延长，并且严重程度很高。协作护理抑郁症管理模型似乎可以通过出院大大提高适当治疗的比率。

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