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老年人对初级保健环境中抑郁筛查的态度及对简短教育手册的探索。

Older adults' attitudes toward depression screening in primary care settings and exploring a brief educational pamphlet.

机构信息

School of Social Work, University of Alabama, Tuscaloosa, AL, USA.

Department of Psychology, University of Alabama, Tuscaloosa, AL, USA.

出版信息

Int J Geriatr Psychiatry. 2018 Jan;33(1):e40-e48. doi: 10.1002/gps.4713. Epub 2017 Apr 21.

Abstract

OBJECTIVES

This study aimed to assess older adults' (OAs') attitudes toward depression screening in primary care settings with a survey and explore the impact of an educational pamphlet on these attitudes.

METHODS

Older adults above age 55 (N = 140) were randomly stratified by sex to an intervention or control group. The study included a baseline assessment, posttest, the Geriatric Depression Scale-Short Form, a two-page pamphlet on health and mood, and a 10-question quiz.

RESULTS

On the basis of survey responses, most participants (93.6%) were willing to complete a depression screen at their doctor's office, and 92.1% perceived depression screening as valuable to their health care. Participants rated the Geriatric Depression Scale-Short Form positively. The survey also provided information on how screening could be conducted in primary care settings to maximize OAs' comfort. Participants preferred screening in the waiting room or examination room instead of the nurse's station. Those receiving the pamphlet became significantly more willing to be screened for depression than those who did not, F(1, 134) = 4.47, p = 0.04.

CONCLUSION

Most OAs appear receptive to completing a depression screen in primary care settings. Educating OAs about the value of depression screening and tailoring recognition systems to account for preferences may be an initial step in improving recognition rates. Copyright © 2017 John Wiley & Sons, Ltd.

摘要

目的

本研究旨在通过调查评估老年人在初级保健环境中对抑郁筛查的态度,并探讨教育小册子对这些态度的影响。

方法

将 55 岁以上的老年人(N=140)按性别随机分为干预组和对照组。研究包括基线评估、后测、老年抑郁量表简短形式、两页关于健康和情绪的小册子以及 10 个问题的测验。

结果

根据调查结果,大多数参与者(93.6%)愿意在医生办公室完成抑郁筛查,92.1%的参与者认为抑郁筛查对他们的医疗保健有价值。参与者对老年抑郁量表简短形式评价较高。该调查还提供了关于如何在初级保健环境中进行筛查以最大程度提高老年人舒适度的信息。参与者更喜欢在候诊室或检查室而不是护士站进行筛查。与未接受小册子的参与者相比,接受小册子的参与者明显更愿意接受抑郁筛查,F(1,134)=4.47,p=0.04。

结论

大多数老年人似乎愿意在初级保健环境中完成抑郁筛查。教育老年人了解抑郁筛查的价值,并根据偏好调整识别系统,可能是提高识别率的初步步骤。版权所有©2017 约翰威立父子公司

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