Glattacker Manuela, Heyduck Katja, Meffert Cornelia, Jakob Teresa
Section of Health Care Research and Rehabilitation Research, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 49, 79106, Freiburg, Germany.
Department of Palliative Care, University Medical Center Freiburg, Freiburg, Germany.
J Clin Psychol Med Settings. 2018 Sep;25(3):316-333. doi: 10.1007/s10880-018-9551-1.
Patients with depression are often dissatisfied with disease- and therapy-related information. The objective of this study was to evaluate an intervention that applied the Common Sense Model to the provision of information during inpatient rehabilitation for patients with depression. The intervention was evaluated in a sequential control group design. Analyses of covariance were used to assess differences between the control and intervention groups. Changes with respect to illness and treatment beliefs (personal control, treatment control, coherence and concerns about medicines), satisfaction with information about medicines, illness and rehabilitation, and depressive burden were selected as primary outcome measures. We observed significant between-group differences indicating the intervention group's superiority in terms of satisfaction with information regarding medicines. However, the two groups' changes during rehabilitation did not differ in terms of the other outcomes. The intervention resulted in patients judging that their medication information needs had been more thoroughly fulfilled than those patients who received care-as-usual information. However, the intervention did not prove to be effective when the other outcome variables are considered. Taken together and bearing in mind the limitations of our study-particularly the non-randomised design-our results should be replicated in a randomised controlled trial.
抑郁症患者往往对与疾病和治疗相关的信息不满意。本研究的目的是评估一种干预措施,该措施将常识模型应用于为抑郁症患者提供住院康复期间的信息。采用序贯对照组设计对该干预措施进行评估。协方差分析用于评估对照组和干预组之间的差异。选择疾病和治疗信念(个人控制、治疗控制、连贯性和对药物的担忧)、对药物、疾病和康复信息的满意度以及抑郁负担方面的变化作为主要结局指标。我们观察到组间存在显著差异,表明干预组在对药物信息的满意度方面具有优势。然而,两组在康复期间的其他结局变化并无差异。该干预措施使患者认为他们的用药信息需求比那些接受常规护理信息的患者得到了更充分的满足。然而,当考虑其他结局变量时,该干预措施并未被证明是有效的。综合考虑并牢记我们研究的局限性——特别是非随机设计——我们的结果应在随机对照试验中进行重复验证。