Tang Jianghong, Zhu Shilin, Huang Yuxiang
Department of Geriatrics, The Second Affiliated Hospital of Hunan University of Chinese Medicine, 410005 Changsha, Hunan, China.
Department of Nursing, The Second Affiliated Hospital of Hunan University of Chinese Medicine, 410005 Changsha, Hunan, China.
Alpha Psychiatry. 2025 Apr 22;26(2):39894. doi: 10.31083/AP39894. eCollection 2025 Apr.
To explore the effects of smartphone-based hospital-family transitional care on symptom burden and quality of life in elderly patients with depression.
This study retrospective analyzed the clinical data of 168 elderly patients with depression admitted to our hospital from January 2022 to January 2024. A total of 79 patients were included in the reference group (routine transitional management), and 89 subjects were included in the observation group (smartphone-based hospital-family transitional care). The symptom burden and quality of life in both groups before and after management were compared. The main statistical methods used in this study were the chi-squared test and the Mann-Whitney U test.
Before discharge, no significant difference existed in Geriatric Depression Scale (GDS) scores, P300 latency, P300 amplitude, Montreal Cognitive Assessment (MoCA) scores, and the scores of each domain in the World Health Organization Quality of Life (WHOQOL)-BREF between the two groups (all > 0.05). After 5 months, the observation group demonstrated a significantly lower GDS score ( = 0.016), shorter P300 latency ( < 0.001), higher P300 amplitude ( < 0.001), higher MoCA score ( = 0.001), and significantly higher scores in physiological, psychological, and environmental domains than the reference group ( < 0.001), with no significant difference in social relation domain ( > 0.05).
Smartphone-based hospital-family transitional care can improve the symptom burden, cognitive function, and quality of life of elderly patients with depression.
探讨基于智能手机的医院-家庭过渡性护理对老年抑郁症患者症状负担和生活质量的影响。
本研究回顾性分析了2022年1月至2024年1月我院收治的168例老年抑郁症患者的临床资料。参照组（常规过渡管理）纳入79例患者，观察组（基于智能手机的医院-家庭过渡性护理）纳入89例患者。比较两组管理前后的症状负担和生活质量。本研究使用的主要统计方法为卡方检验和曼-惠特尼U检验。
出院前，两组间老年抑郁量表（GDS）评分、P300潜伏期、P300波幅、蒙特利尔认知评估量表（MoCA）评分以及世界卫生组织生活质量简表（WHOQOL-BREF）各领域评分均无显著差异（均>0.05）。5个月后，观察组的GDS评分显著更低（=0.016），P300潜伏期更短（<0.001），P300波幅更高（<0.001），MoCA评分更高（=0.001），且生理、心理和环境领域的评分显著高于参照组（<0.001），社会关系领域无显著差异（>0.05）。
基于智能手机的医院-家庭过渡性护理可改善老年抑郁症患者的症状负担、认知功能和生活质量。
