患有抑郁症的术前患者的患病率和特征
Tuuli M Hietamies1, Ashleigh E Smith1, Theresa R Lii1
1Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.
British journal of anaesthesia
|May 23, 2024
概括
一个术后抑郁查计划发现,4%的患者有显著的抑郁症状,许多没有先前诊断. 这凸显了积极查的必要性,以改善外科手术的结果.
科学领域:
- 在外科手术期间的医学.
- 精神病学是一个精神病学.
- 医疗保健管理的管理
背景情况:
- 抑郁症的诊断与术后并发症的增加有关.
- 开发了一个术后抑郁查计划,以评估患病率和干预可行性.
研究的目的:
- 评估手术前患者中抑郁症的患病率.
- 评估实施术后抑郁查计划的可行性.
- 为了确定与临床显著抑郁症相关的特征.
主要方法:
- 成年手术患者使用患者健康问卷 (PHQ) -2和-8.8进行查.
- 采用了广泛 (所有患者) 和集中 (抑郁病史) 查方法.
- 后勤回归确定了与抑郁症相关的因素 (PHQ-8 ≥10);有症状的患者接受了干预和转诊.
主要成果:
- 在分析的2940名患者中,4% (宽屏) 和14% (聚焦屏) 呈现中度至重度抑郁症状.
- 抑郁病史是最强的预测因素,但并没有确定大多数病例.
- 66%的患者提供心理健康服务,接受转诊或寻求外部护理.
结论:
- 临床上显著的抑郁症状存在于至少4%的术前患者中.
- 大多数有显著抑郁症状的患者缺乏记录的病史.
- 查计划证明了可行性,并确定了实质性的干预需求.
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