College of Nursing, University of Tennessee Health Science Center, Memphis, Tennessee 38104, USA.
Telemed J E Health. 2009 Sep;15(7):700-6. doi: 10.1089/tmj.2009.0021.
Telehealth provides a successful medium for the treatment of depression and other mental health illnesses. Often, inadequate treatment for this condition is found in patients with chronic co-morbid conditions such as those presented by the transplant recipient, a population at risk for depression. One concern of healthcare providers is the inability to adequately screen for symptoms of depression. This secondary analysis describes depression screening of 138 transplant recipients receiving follow-up care via telehealth (TH) and standard care (SC) as part of a larger National Institute of Nursing Research-funded randomized clinical trial. Of subjects who consented, 70 (51%) were randomized to the TH portion of the study. Depressive symptoms were measured by the Center for Epidemiologic Studies-Depression (CES-D) survey at study entry and at 6 and 12 months postconsent into the study. Univariate and subgroup analyses using SAS found no differences between the TH (n = 70) and SC (n = 68) group for demographic and social characteristics. No differences in CES-D scores were found between TH and SC groups. The concern in adding distance in the care of this medically fragile population was not substantiated in this study.
远程医疗为治疗抑郁症和其他心理健康疾病提供了一个成功的媒介。通常，患有慢性合并症的患者（如接受移植的患者）治疗这种疾病的效果不佳，而这些患者是抑郁症的高危人群。医疗服务提供者关注的一个问题是无法充分筛查抑郁症的症状。本二次分析描述了作为国家护理研究所资助的一项更大规模随机临床试验的一部分，通过远程医疗（TH）和标准护理（SC）为 138 名接受后续护理的移植受者进行的抑郁症筛查。在同意的受试者中，有 70 名（51%）被随机分配到研究的 TH 部分。在研究开始时和同意入组后 6 个月和 12 个月，使用中心流行病学研究抑郁量表（CES-D）调查来衡量抑郁症状。使用 SAS 进行的单变量和亚组分析发现，TH 组（n = 70）和 SC 组（n = 68）在人口统计学和社会特征方面没有差异。TH 和 SC 组之间的 CES-D 评分也没有差异。在这个研究中，没有发现为这个医疗脆弱人群提供远程护理的担忧是合理的。
