Iden Kristina Riis, Engedal Knut, Hjorleifsson Stefan, Ruths Sabine
Research Unit for General Practice, Uni Health/Uni Research, Bergen, Norway.
Dement Geriatr Cogn Disord. 2014;37(3-4):154-62. doi: 10.1159/000355427. Epub 2013 Oct 24.
We aimed to establish the prevalence of depression among recently admitted long-term care patients and to examine associations with diagnostic initiatives and treatment as recorded in patients' medical records.
Eighty-eight long-term care patients were included. Depression was diagnosed according to the ICD-10 criteria; patients were screened for depression using the Cornell Scale for Depression in Dementia (CSDD) and for dementia with the Clinical Dementia Rating (CDR) scale.
Depression was found in 25% of the patients according to the ICD-10 criteria and in 31% according to a CSDD sum score of ≥ 8. Diagnostic initiatives were documented in the medical records of half of the patients with depression. Forty-four percent of the patients were prescribed antidepressants and 23% actually received them for the treatment of depression.
Depression was prevalent among recently admitted long-term care patients, but diagnostic initiatives were too rarely used. Antidepressants were commonly prescribed, but depression was the indication for treatment in only half of the cases. Screening for depression should be mandatory on admission.
我们旨在确定近期入住长期护理机构的患者中抑郁症的患病率，并检查与患者病历中记录的诊断措施及治疗之间的关联。
纳入了88名长期护理患者。根据国际疾病分类第10版（ICD - 10）标准诊断抑郁症；使用康奈尔痴呆抑郁量表（CSDD）对患者进行抑郁症筛查，并用临床痴呆评定量表（CDR）对痴呆进行筛查。
根据ICD - 10标准，25%的患者被诊断为抑郁症，根据CSDD总分≥8，这一比例为31%。在一半的抑郁症患者病历中有诊断措施的记录。44%的患者被开具了抗抑郁药，其中23%实际接受了抗抑郁药治疗。
抑郁症在近期入住长期护理机构的患者中很普遍，但诊断措施很少被采用。抗抑郁药通常被开具，但抑郁症仅在一半的病例中作为治疗指征。入院时应强制进行抑郁症筛查。
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