Liao Su-Jung, Chao Shu-Mei, Fang Yu-Wen, Rong Jiin-Ru, Hsieh Chia-Jou
Department of Nursing, College of Nursing, Tzu Chi University of Science and Technology, Hualien 970302, Taiwan.
School of Nursing, National Taipei University of Nursing and Health Science, Taipei 112303, Taiwan.
Int J Environ Res Public Health. 2022 Mar 11;19(6):3306. doi: 10.3390/ijerph19063306.
Depression is the second-leading cause of disability among older patients worldwide. This study examined the effectiveness of the Integrated Care Model (ICM) intervention in decreasing depression, suicide ideation, and psychological symptoms and improving life satisfaction among old patients with depression living in communities. The participants were allocated to either the intervention ( = 67) or control group ( = 76) from July 2018 to November 2018. All participants received the usual geriatric care for three months in eastern Taiwan. Additionally, participants in the intervention group were treated according to the ICM, including the assessment and management of health problems, improvements in spiritual and mental wellbeing, helping with activities of daily life and mobility, providing social welfare resources, and prevention of elder abuse. The patients in the experimental group showed significant improvement in the group-by-time effect on the Center for Epidemiologic Studies Depression Scale, the Brief Symptom Rating Scale, suicide ideation measures, and the Life Satisfaction Index over 18 weeks. The ICM should be included in routine geriatric care and adopted in hospitals, long-term care facilities, and communities.
抑郁症是全球老年患者致残的第二大原因。本研究探讨了综合照护模式（ICM）干预措施在降低抑郁症老年患者的抑郁、自杀意念和心理症状以及提高生活满意度方面的有效性。2018年7月至2018年11月，将参与者分为干预组（n = 67）或对照组（n = 76）。所有参与者在台湾东部接受了为期三个月的常规老年护理。此外，干预组的参与者按照ICM进行治疗，包括健康问题的评估和管理、精神和心理健康的改善、日常生活活动和行动能力的协助、提供社会福利资源以及预防虐待老年人。在18周内，实验组患者在流行病学研究中心抑郁量表、简明症状评定量表、自杀意念测量以及生活满意度指数的组间时间效应方面有显著改善。ICM应纳入常规老年护理，并在医院、长期护理机构和社区中采用。
