相关实验视频
癌症患者并发性严重抑郁症的综合协作护理 (SMaRT Oncology-2):一个多中心随机对照有效性试验
Michael Sharpe1, Jane Walker1, Christian Holm Hansen2
1Psychological Medicine Research, University of Oxford Department of Psychiatry, Warneford Hospital, Oxford, UK.
Lancet (London, England)
|September 2, 2014
概括
与常规护理相比,针对癌症患者的综合抑郁治疗显著改善了治疗反应率. 这种协作方法提高了生活质量,并减少了瘤学环境中的抑郁症状.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 临床试验 临床试验
背景情况:
- 重度抑郁症经常会使病情复杂化,严重损害患者的生活质量.
- 癌症患者经常经历严重的抑郁症,需要有效的综合治疗策略.
研究的目的:
- 为了比较综合治疗方案的有效性",癌症患者的抑郁症护理",与癌症患者常见的严重抑郁症护理相比.
主要方法:
- 一个多中心,随机对照试验 (SMaRT Oncology-2) 涉及来自英国三个癌症中心的外科医生患有严重抑郁症.
- 参与者被随机分配到"癌症患者抑郁症护理"干预或常规护理.
- 主要结局是治疗反应,定义为24周症状检查表抑郁症量表 (SCL-20) 评分下降≥50%.
主要成果:
- 在接受"癌症患者抑郁治疗"的患者中,有62%的患者对治疗有反应,而在通常治疗组中只有17% (绝对差异为45%,p<0.0001).
- 综合护理组报告说,抑郁症,焦虑,疼痛和疲劳明显减少,功能和生活质量有所改善.
- 没有报告与试验相关的不良事件;与癌症相关的死亡和精神病事件与干预措施无关.
结论:
- "癌症患者的抑郁治疗"是癌症患者严重抑郁症的有效治疗方法.
- 这种综合,协作护理模式为管理抑郁症与其他疾病并发症提供了一种可行的方法.
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