老年综合护理项目新入组患者的情绪变化
Changes in Mood in New Enrollees at a Program of All-Inclusive Care for the Elderly.
作者信息
Vouri Scott Martin, Crist Stephanie M, Sutcliffe Siobhan, Austin Shane
机构信息
Department of Pharmacy Practice, St. Louis College of Pharmacy, St. Louis, Missouri, USA.
出版信息
Consult Pharm. 2015 Aug;30(8):463-71. doi: 10.4140/TCP.n.2015.463.
OBJECTIVES
To examine changes in mood after nine months of enrollment in a Program of All-Inclusive Care for the Elderly (PACE).
DESIGN
Cohort study.
SETTING
Alexian Brothers PACE, St. Louis, Missouri.
PARTICIPANTS
Newly enrolled patients 55 years of age and older, living in the PACE service area, eligible for nursing facility care and able to live safely in the community, with continuous care, for at least nine months (N = 182).
MAIN OUTCOME MEASURES
Geriatric Depression Scale (GDS)-15 score at the pre-admission evaluation (PAE) and the nine-month evaluation (9ME).
RESULTS
Of the 182 patients evaluated, 27% (n = 49) met the definition of depression as defined by the GDS-15 score of ≥ 6 at the PAE. At the 9ME, only 11% of patients met the depression criteria (P < 0.001). Of the patients who met the criteria for depression at the PAE, 80% of patients (n = 39) no longer met these criteria at the 9ME (P = 0.029). Similar findings were observed by age, gender, and race. Greater improvement was observed among those who were depressed at the PAE; the depressed cohort improved by 5.0 points (P < 0.001) on the GDS-15 scale from the PAE to the 9ME, whereas the nondepressed cohort improved by 0.6 points (P = 0.003).
CONCLUSION
The use of PACE as an alternative intervention may be a good option to improve mood in older adults.
目的
研究老年人全面护理计划（PACE）入组九个月后的情绪变化。
设计
队列研究。
地点
密苏里州圣路易斯市的亚历克西斯兄弟PACE。
参与者
年龄在55岁及以上、居住在PACE服务区域、符合入住护理机构条件且能够在社区安全接受持续护理至少九个月的新入组患者（N = 182）。
主要观察指标
入院前评估（PAE）和九个月评估（9ME）时的老年抑郁量表（GDS）-15得分。
结果
在182名接受评估的患者中，27%（n = 49）在PAE时GDS-15得分≥ 6，符合抑郁症定义。在9ME时，只有11%的患者符合抑郁症标准（P < 0.001）。在PAE时符合抑郁症标准的患者中，80%（n = 39）在9ME时不再符合这些标准（P = 0.029）。在年龄、性别和种族方面观察到类似结果。PAE时抑郁的患者改善更为明显；抑郁组在GDS-15量表上从PAE到9ME提高了5.0分（P < 0.001），而非抑郁组提高了0.6分（P = 0.003）。
结论
使用PACE作为替代干预措施可能是改善老年人情绪的一个不错选择。
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