在南非精神病院入院期间,患者报告结果的变化
Lerato Motshudi1, Cherie-Dee Hann1, Marilee Kloppers1
1Netcare Ltd, Johannesburg, South Africa.
概括
住院治疗显著降低了抑郁症严重性得分,72.1%的患者表现出临床显著改善. 像PHQ-9这样的患者报告结果指标 (PROM) 证明了精神病治疗抑郁症的价值.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者报告的结果测量 (PROM) 对于评估疾病和治疗对健康和生活质量的影响至关重要.
- 患者健康问卷-9 (PHQ-9) 是用于抑郁症检测和监测的验证工具.
研究的目的:
- 分析抑郁症患者从入院到出院的PHQ-9分数的变化.
- 用PHQ-9分数量化住院精神病医院入院的治疗效果.
主要方法:
- 在2018年1月至2022年10月期间,对13308名因抑郁症 (ICD-10代码F32-F33) 住院的成年患者进行了回顾性观察研究.
- 从南非急性精神病医院收集的数据,不包括专门的成或饮食障碍单位.
- 纳入标准要求填写入学和退学PHQ-9问卷.
主要成果:
- 中位数PHQ-9分数从入院时的19分下降到出院时的5分,中位数变化为-12.
- 在72.1%的患者中观察到临床显著改善.
- 在87.6%的患者中,观察到临床重要差异很小,这表明治疗有积极的效果.
结论:
- 住院精神病患者的入院导致抑郁症严重程度的大幅降低,根据PHQ-9评分进行测量.
- PROM提供了以患者为中心的观点,以了解住院治疗抑郁症的好处.
- 这些发现与国际数据一致,为住院患者抑郁症治疗疗效建立了基准.
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