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通过SMART老年计划预防患有慢性疾病的老年人抑郁症:泰国中部的一项准实验性研究
Phongsakorn Toopboochakorn1,2, Nanthawan Nilpayak2, Phornphimon Hotarat2,3
1Department of Medical Records, Hathairat 39 Medical Clinic, Bangkok, Thailand.
Korean journal of family medicine
|January 29, 2026
概括
智能老年计划有效地减少了慢性疾病的老年人的抑郁症. 这项干预表明,它有望改善社区环境中的心理健康护理.
科学领域:
- 老年学是指老年学的学科.
- 心理健康 心理健康
- 公共卫生 公共卫生
背景情况:
- 抑郁症会影响患有慢性疾病的老年人,从而降低生活质量.
- 在泰国,有限的心理健康接入需要采取预防策略.
- SMART (微笑,正念,态度,放松和思考) 老年人计划是为了弥补这个差距而开发的.
研究的目的:
- 评估SMART老年计划在患有慢性疾病的老年人中预防抑郁症的有效性.
- 评估抑郁症知识,态度和症状严重程度的变化.
主要方法:
- 采用了一种具有重复测量方法的准实验性设计.
- 招募了80名患有抑郁症的老年人 (泰国老年抑郁症量表得分为7-12).
- 参与者被分配到一个为期6周的干预组 (SMART老年计划) 或对照组 (标准护理+手册).
主要成果:
- 与对照组相比,干预组在3个月的随访后观察到有统计学意义的改善 (P<0.001).
- 对抑郁症的知识,对抑郁症的态度和泰国老年抑郁症评分从基线到随访期间在干预组显著改善 (P<0.001).
结论:
- 智能老年计划在减轻慢性疾病的老年人抑郁症状方面表现出显著的有效性.
- 结果支持该计划融入社区卫生实践.
- 结果可以为旨在加强老年人的预防性心理健康服务的健康政策提供信息.
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