Narsavage Georgia L, Chen Kathy Yea-Jyh
West Virginia University School of Nursing, Morgantown, WV 26506-9600, USA.
Home Healthc Nurse. 2008 Sep;26(8):474-82. doi: 10.1097/01.NHH.0000335606.45977.06.
This study examined factors that predicted depressed mood at discharge and 3 months after discharge for 124 elders with chronic obstructive pulmonary disease (COPD). After the use of control for physiologic status (forced expiratory volume in 1 second percent predicted), the factors of anxiety, perceived health competence, daily functioning, and family emotional coping predicted depressed mood. Discharge referrals for home care services could be used to assess the 4 factors with the potential for the healthcare team to intervene. Interventions could include anxiety reduction through music or other therapies, education to enhance perceived health competence, oxygen use with activities to improve functioning, and integration of informal caregiving support from the community to increase family emotional support.
本研究调查了124名慢性阻塞性肺疾病（COPD）老年患者出院时及出院后3个月出现抑郁情绪的预测因素。在对生理状况（一秒用力呼气容积占预计值百分比）进行控制后，焦虑、感知健康能力、日常功能和家庭情感应对等因素可预测抑郁情绪。出院时转介至家庭护理服务可用于评估这4个因素，以便医疗团队进行干预。干预措施可包括通过音乐或其他疗法减轻焦虑、开展教育以增强感知健康能力、吸氧并配合活动以改善功能，以及整合社区的非正式照料支持以增加家庭情感支持。
