Chan Kwok-Ying, Lau Vikki Wai-Kee, Cheung Ka-Chi, Chang Richard Shek-Kwan, Chan Man-Lui
Palliative Medical Unit, Grantham Hospital, Hong Kong.
Division of Neurology, Department of Medicine, Queen Mary Hospital, Hong Kong.
SAGE Open Med Case Rep. 2016 Aug 26;4:2050313X16665998. doi: 10.1177/2050313X16665998. eCollection 2016.
Major depression is common in patients hospitalized with congestive heart failure and is independently associated with increased re-hospitalization and mortality.
Hereby, we report the treatment for an elderly congestive heart failure patient with frequent emergency department visits having major depression and hopelessness.
Treatment outcomes measured showed that depressed scores of psychosocial needs were reduced with life review interview therapy in a palliative care day center.
We hypothesize that multidisciplinary team's approach to treatment was important for this case.
重度抑郁症在因充血性心力衰竭住院的患者中很常见,并且与再住院率和死亡率的增加独立相关。
在此,我们报告了对一名患有重度抑郁症和绝望感且频繁前往急诊科就诊的老年充血性心力衰竭患者的治疗情况。
测量的治疗结果表明,在姑息治疗日间中心采用生活回顾访谈疗法可降低心理社会需求的抑郁评分。
我们推测多学科团队的治疗方法对该病例很重要。