Jacob Mini Elizabeth, Abraham Vinod Joseph, Abraham Sulochana, Jacob K S
Department of Community Health, Christian Medical College, Vellore, India.
Int J Geriatr Psychiatry. 2007 May;22(5):445-7. doi: 10.1002/gps.1706.
Sustainable cost-effective interventions to improve psychiatric morbidity and quality of life among the elderly have not been systematically evaluated in developing countries.
The most vulnerable elderly living in Pennathur, Vellore district, India, in terms of socioeconomic status and social supports, were invited to participate in a day-care program. Baseline assessments were done using the Mini Mental Status Examination, the Revised Clinical Interview Schedule and the World Health Organisation Quality of Life- Bref. Follow-up assessment was done at 3 months on subjects who took part and those who refused.
Forty-one (16.4%) were invited to take part. Twenty subjects took part in the program while 21 refused. There was a significant reduction in psychiatric morbidity and improvement in quality of life scores at 3 months for subjects who attended the program. The improvement in quality of life persisted after adjusting for gender, socioeconomic status and baseline scores. Costing of the program suggests sustainability.
在发展中国家，尚未对改善老年人精神疾病发病率和生活质量的可持续且具成本效益的干预措施进行系统评估。
邀请印度韦洛尔区佩纳图尔社会经济地位和社会支持最脆弱的老年人参加日托项目。使用简易精神状态检查表、修订版临床访谈时间表和世界卫生组织生活质量简表进行基线评估。对参与和拒绝参与的受试者在3个月时进行随访评估。
41人（16.4%）被邀请参与。20名受试者参加了该项目，21人拒绝。参加该项目的受试者在3个月时精神疾病发病率显著降低，生活质量得分有所提高。在对性别、社会经济地位和基线得分进行调整后，生活质量的改善依然存在。该项目的成本效益表明其具有可持续性。
