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在姑息治疗日间护理中心通过生活回顾访谈减轻晚期充血性心力衰竭老年人的心理精神痛苦

Reduction of psycho-spiritual distress of an elderly with advanced congestive heart failure by life review interview in a palliative care day center.

作者信息

Chan Kwok-Ying, Lau Vikki Wai-Kee, Cheung Ka-Chi, Chang Richard Shek-Kwan, Chan Man-Lui

机构信息

Palliative Medical Unit, Grantham Hospital, Hong Kong.

Division of Neurology, Department of Medicine, Queen Mary Hospital, Hong Kong.

出版信息

SAGE Open Med Case Rep. 2016 Aug 26;4:2050313X16665998. doi: 10.1177/2050313X16665998. eCollection 2016.

Abstract

OBJECTIVES

Major depression is common in patients hospitalized with congestive heart failure and is independently associated with increased re-hospitalization and mortality.

METHODS

Hereby, we report the treatment for an elderly congestive heart failure patient with frequent emergency department visits having major depression and hopelessness.

RESULTS

Treatment outcomes measured showed that depressed scores of psychosocial needs were reduced with life review interview therapy in a palliative care day center.

CONCLUSION

We hypothesize that multidisciplinary team's approach to treatment was important for this case.

摘要

目的

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。

方法

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。

结果

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。

结论

我们推测多学科团队的治疗方法对该病例很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa91/5006298/7cded3b3576a/10.1177_2050313X16665998-fig1.jpg

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