Department of Cardiology, Austin Health, Melbourne, Vic, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Vic, Australia.
Department of Cardiology, Austin Health, Melbourne, Vic, Australia.
Heart Lung Circ. 2020 Mar;29(3):401-404. doi: 10.1016/j.hlc.2019.03.009. Epub 2019 Apr 2.
Depression is common in cardiovascular disease (CVD). Clinical practice guidelines recommend routine depression screening by cardiologists. The aim of the study was to undertake a national survey of Australian cardiologists' clinical practice behaviours in relation to depression screening, referral, and treatment.
The Cardiovascular Disease and Depression Questionnaire was sent to 827 eligible cardiologist members of Cardiac Society of Australia and New Zealand, of which a total of 524 were returned (63%).
Most Australian cardiologists do not routinely ask their patients about depression and only 3% routinely use depression screening instruments. Most cardiologists (>70%) think that General Practitioners (Primary Care Physicians) are primarily responsible for identifying and treating depression in CVD. Cardiologists, who understand the prognostic risks of depression in CVD and feel confident to identify and treat depression, were more likely to screen, refer and/or treat patients for depression.
Australian cardiologists rarely use validated depression screening measures. Several brief instruments are available for use and can be easily integrated into routine patient care without taking additional consultation time.
抑郁症在心血管疾病（CVD）中很常见。临床实践指南建议心脏病专家对抑郁症进行常规筛查。本研究的目的是对澳大利亚心脏病专家在抑郁症筛查、转诊和治疗方面的临床实践行为进行全国调查。
向澳大利亚和新西兰心脏病学会的 827 名符合条件的心脏病专家成员发送了《心血管疾病和抑郁症问卷》，共收回 524 份（63%）。
大多数澳大利亚心脏病专家不会常规询问患者是否患有抑郁症，只有 3%的医生会常规使用抑郁筛查工具。大多数心脏病专家（>70%）认为全科医生（初级保健医生）是识别和治疗 CVD 中抑郁症的主要责任人。那些了解 CVD 中抑郁的预后风险并对识别和治疗抑郁有信心的心脏病专家更有可能对患者进行抑郁筛查、转诊和/或治疗。
澳大利亚心脏病专家很少使用经过验证的抑郁筛查措施。有几种简短的工具可供使用，无需额外的咨询时间即可轻松整合到常规的患者护理中。
