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实施基于测量的护理以确定和治疗反应不足。

Implementing Measurement-Based Care to Determine and Treat Inadequate Response.

出版信息

J Clin Psychiatry. 2020 May 5;81(3):OT19037BR1. doi: 10.4088/JCP.OT19037BR1.

Abstract

​​ Measurement-based care (MBC) is an important strategy in the treatment of patients with major depressive disorder who have inadequate antidepressant response. The rating scales used in MBC can assist clinicians at critical decision points, such as when to declare a treatment failure, what to do with partial improvement, and how long to continue successful treatment. Measurement has two benefits: it gives the clinician an objective basis for comparison of symptom severity over time, and it helps patients to have insight into their illness course. Further, many of these tools do not add substantially to the length of the clinical visit. MBC can also be used to monitor and address residual symptoms such as fatigue and irritability that impact patients' functioning and quality of life.​ ​.

摘要

基于测量的护理(MBC)是治疗抗抑郁药反应不足的重度抑郁症患者的重要策略。MBC 中使用的评定量表可以帮助临床医生在关键决策点做出决策,例如何时宣布治疗失败、如何处理部分改善以及继续成功治疗的时间。测量有两个好处:它为临床医生提供了一个客观的基础,用于比较随时间推移的症状严重程度,并且帮助患者了解自己的疾病过程。此外,这些工具中的许多并不会显著增加临床就诊时间。MBC 还可用于监测和解决影响患者功能和生活质量的残留症状,如疲劳和易怒。

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