Knight Margaret M, Houseman E Andrés
Department of Nursing, School of Health and Environment, University of Massachusetts Lowell, Lowell, Massachusetts 01854, USA. Margaret
Issues Ment Health Nurs. 2008 Sep;29(9):974-91. doi: 10.1080/01612840802279049.
Depression is a serious mental health problem for older adults. This study examined the effectiveness of an Advanced Practice Psychiatric Nurse (APPN)-Primary Care Physician (PCP) collaborative model to provide care to homebound elders with depressive symptoms. One hundred seventy nine individuals were screened for depression revealing an incidence of 46%. Of these, 83 (46%) were invited to participate in the study based on their depression scores; 41 (49%) agreed to participate in the study. Significant improvement in depression scores occurred for those who received treatment. Treatment included pharmacological and psychosocial interventions. As the population over the age of 65 continues to grow, many more older adults will need mental health treatment, and creative methods to provide services to homebound individuals must be explored.
抑郁症是老年人面临的一个严重心理健康问题。本研究考察了高级执业精神科护士（APPN）与初级保健医生（PCP）协作模式为居家有抑郁症状的老年人提供护理的效果。对179人进行了抑郁症筛查，发现发病率为46%。其中，83人（46%）因其抑郁评分被邀请参与研究；41人（49%）同意参与研究。接受治疗的患者抑郁评分有显著改善。治疗包括药物和心理社会干预。随着65岁以上人口持续增长，更多老年人将需要心理健康治疗，必须探索为居家者提供服务的创新方法。
