相关实验视频
癌症患者抑郁症的管理 (SMaRT瘤学1):一项随机试验
Vanessa Strong1, Rachel Waters, Carina Hibberd
1University of Edinburgh Cancer Research Centre, Western General Hospital, Crewe Road, Edinburgh, UK.
Lancet (London, England)
|July 8, 2008
概括
护士进行的干预显著减少了癌症患者的抑郁症. 这种针对癌症患者的抑郁症护理模式是可行的,可以接受的,并且具有成本效益,用于在患有医疗条件的人中管理严重抑郁症.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 卫生经济学 卫生经济学
背景情况:
- 重度抑郁症 (MDD) 显著影响癌症患者的生活质量.
- 在医疗复杂的患者中,MDD管理的证据有限.
- 这项研究评估了护士为癌症患者提供MDD的干预措施.
研究的目的:
- 评估护士在癌症患者中对主要抑郁障碍 (MDD) 进行复杂干预的疗效.
- 为了确定这种干预措施的成本效益.
- 评估干预对焦虑,疲劳,疼痛和身体功能的影响.
主要方法:
- 在英国地区癌症中心进行了一项随机试验.
- 200名癌症和MDD的门诊患者被随机分配到通常的护理或通常的护理加上干预.
- 该干预涉及癌症护士平均进行的7次治疗;主要结局是3个月后的抑郁症得分.
主要成果:
- 干预组在3个月后显示出明显较低的抑郁症评分 (调整后的差异:0.34,95% CI 0.13-0.55).
- 这种抗抑郁作用在6个月和12个月后持续存在.
- 干预改善了焦虑和疲劳,但没有改善疼痛或身体功能;成本为每增加的质量调整后生命年10556美元.
结论:
- "癌症患者的抑郁护理"干预是管理癌症患者的MDD的可行和可接受的模型.
- 这种方法表明,在专业医疗服务中的患者管理严重抑郁症的潜在成本效益.
- 这些发现表明,在瘤学环境中,精神健康综合护理是一个有价值的模型.
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