在初级保健中使用PHQ-9监测抑郁症:一项定性研究
Brian Cf Ching1, Rachel Dewar-Haggart2, Carl R May3
1Division of Psychiatry, University College London, Maple House, 149 Tottenham Court Road, London, UK.
BJGP open
|October 8, 2025
概括
患者和从业人员发现患者健康问卷 (PHQ-9) 对监测抑郁症有价值,但在将其整合到初级保健咨询中提出了挑战. 需要进一步的研究来优化其在临床实践中的使用.
科学领域:
- 临床心理学 临床心理学
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级保健指南倡导患者报告的结果措施 (PROM),如患者健康问卷 (PHQ-9),以监测成人抑郁症.
- 在PROMDEP试验中,评估了PHQ-9对抑郁症监测的有效性和成本效益.
- 收集了定性数据,以了解患者和从业人员对PHQ-9的体验.
研究的目的:
- 探索患者和从业人员关于在PROMDEP试验中使用PHQ-9用于初级保健中的抑郁症监测的观点.
- 了解将PHQ-9纳入常规初级保健咨询中的促进者和障碍.
主要方法:
- 在PROMDEP试验中进行了一项嵌套的定性研究和过程评估.
- 与29名患者和15名从业人员进行了半结构化的电话或视频采访.
- 用专题分析来分析采访数据.
主要成果:
- 患者和从业人员都认识到PHQ-9对抑郁症监测的价值.
- 报告指出,PHQ-9对理解抑郁症,咨询和融入初级保健工作流程的影响存在局限性.
- 医务人员整合PHQ-9的障碍可能解释PROMDEP试验中混合的发现.
结论:
- 使用PROM监测抑郁症必须考虑现有的初级保健流程和资源.
- 进一步的研究是必要的,以确定如何成功地将PHQ-9纳入临床咨询.
- 优化PROM集成是初级保健中有效管理抑郁症的关键.
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