在开始生育治疗的患者中改善了抑郁症查
Nursing for women's health
|March 22, 2024
概括
实施患者健康问卷-9 (PHQ-9) 改善了生育不良患者的抑郁症查. 然而,需要进行后续调查,以确保患者因发现障碍而获得心理健康服务.
科学领域:
- 生殖内分泌学和不孕症 (REI)
- 心理健康查 心理健康查
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 生育治疗可能会导致严重的心理痛苦.
- 心理健康查并未始终整合到生殖内分泌学和不孕不育 (REI) 护理中.
- 早期发现抑郁症对于患者在生育治疗期间的幸福感至关重要.
研究的目的:
- 实施和评估患者健康问卷-9 (PHQ-9) 对开始生育治疗的患者进行抑郁症查的有效性.
- 为了提高REI中心的心理健康查率.
- 为了促进患有抑郁症状的患者及时转诊.
主要方法:
- 一个质量改进项目使用了计划-做-研究-行动循环,并进行了后干预设计.
- 患者健康问卷-9 (PHQ-9) 被用于REI中心的所有新患者.
- 咨询和药物管理的转介是基于PHQ-9分数 (轻度≥5,中度/重度抑郁≥10) 产生的.
主要成果:
- 在115名参与者中,获得了84.3%的查率.
- 在97名查的患者中,21人在PHQ-9上得分≥5,19人获得转诊.
- 在2个月的随访期间,没有患者参加咨询或开始服用处方药,理由是成本,偏好和获取障碍.
结论:
- PHQ-9是提高REI诊所抑郁症查频率的可行工具.
- 虽然查和转诊增加了,但患者与心理健康服务的接触仍然是一个挑战.
- 需要进一步的战略来克服障碍,并确保患者在生育治疗期间获得足够的心理健康支持.
相关概念视频
Antidepressant Drugs: MAOIs and Other Agents
228
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
228
Depression: Overview
242
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
242
Infertility in Males
261
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
261
In Vitro Fertilization
255
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
255
Antidepressant Drugs: Tricyclics, SSRIs, and SNRIs
382
Tricyclic Antidepressants (TCAs), including Desipramine (Norpramin), Imipramine (Tofranil), Clomipramine (Anafranil), and Amitriptyline (Elavil), inhibit serotonin and norepinephrine reuptake and also block other receptors. They are used for depression, pain conditions, and insomnia. Common adverse effects include anticholinergic effects, sedation, orthostatic hypotension, and weight gain. They have a narrow therapeutic window and so require plasma-level monitoring. Abrupt discontinuation can...
382
Infertility in Females
292
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
292


