Neese J B
University of Virginia, Charlottesville.
Nurs Clin North Am. 1991 Sep;26(3):613-22.
Depression in the general hospital is a challenging arena for nursing. Diagnosing depression tends to be difficult because of the overlapping somatic presentations of depression and medical illness. In working with this patient population, a thorough physical examination and diagnostic evaluation need to be completed to rule out pre-existing medical diseases and medications that could be inducing the depressive symptoms. Usually, medically ill patients are diagnosed with adjustment disorder with depressed mood that responds well to a combination of supportive psychotherapy and antidepressant therapy.
综合医院中的抑郁症护理是一个具有挑战性的领域。由于抑郁症和躯体疾病在症状上相互重叠，抑郁症的诊断往往很困难。在护理这类患者群体时，需要进行全面的体格检查和诊断评估，以排除可能引发抑郁症状的既有躯体疾病和药物。通常，患有躯体疾病的患者被诊断为伴有抑郁情绪的适应障碍，这种情况对支持性心理治疗和抗抑郁治疗的联合应用反应良好。
