Ell Kathleen
School of Social Work, University of Southern Califonia, Los Angeles, CA 90089-0411, USA.
Home Health Care Serv Q. 2006;25(1-2):115-48. doi: 10.1300/J027v25n01_07.
This paper provides an overview of five key bodies of evidence identifying: (1) Characteristics of depression among older adults -- its prevalence, risk factors and illness course, and impact on functional status, mortality, use of health services, and health care costs; (2) Effective Interventions, including pharmacologic, psychotherapies, care management, and combined intervention models; (3) Known Barriers to depression care including patient, provider and service system barriers; (4) Effective Organizational and Educational Strategies to reduce barriers to depression care; and (5) Key Factors in Translating Research into Practice. There is strong empirical support for implementing strategies to improve depression care for older adults.
本文概述了五个关键证据领域，分别是：（1）老年人抑郁症的特征——其患病率、风险因素和病程，以及对功能状态、死亡率、医疗服务使用和医疗保健成本的影响；（2）有效的干预措施，包括药物治疗、心理治疗、护理管理和综合干预模式；（3）抑郁症护理已知的障碍，包括患者、提供者和服务系统方面的障碍；（4）减少抑郁症护理障碍的有效组织和教育策略；以及（5）将研究转化为实践的关键因素。实施改善老年人抑郁症护理的策略有强有力的实证支持。
