护理学报 ›› 2019, Vol. 26 ›› Issue (2): 34-38.doi: 10.16460/j.issn1008-9969.2019.02.034
抑郁症共病患者干预策略研究进展
王艾红, 谢莹莹, 尹安春, 殷慧慧
- 大连医科大学附属第一医院 护理部,辽宁 大连 116000
摘要： 目的 了解抑郁症共病的流行病学现状,总结抑郁症共病患者干预策略的研究进展,旨在为我国抑郁症共病管理的发展提供理论依据。方法 检索和整理国内外关于抑郁症共病管理的相关文献,根据文献结果进行归纳与总结。结果 抑郁症共病患者干预策略有整合协同护理模式、问题解决疗法、多学科团队合作和慢性病自我管理计划。结论 国内外关于抑郁症共病患者的干预研究,整体尚处于探索阶段,仍然存在很多不足,相关学者和机构应该加强对该领域的重视。
中图分类号:
- R395.4
| [1] World Health Organization, Depression: Let's Talk[EB/OL].[2018-08-10]. http://www.who.int/topics/depression/zh/ [2] 王小丽,尹慧芳,徐广明,等. 天津市18岁及以上社区人群抑郁症患病率及影响因素[J].中国慢性病预防与控制, 2018,26(4):274-277.DOI:10.16386/j.cjpccd.issn.1004-6194.2018.04.007. [3] World Health Organization, Disease Burden and Mortality Estimates[EB/OL].[2018-08-10].https://www.who.int/healthinfo/global_burden_disease/estimates/en/index1.html. [4] Dekker R L, Lennie T A, Doering L V, et al.Coexisting Anxiety and Depressive Symptoms in Patients with Heart Failure[J]. Eur J Cardiovasc Nurs, 2014,13(2):168-176.DOI:10.1177/1474515113519520. [5] Kneipp S M, Beeber L.Social Withdrawal as a Self-management Behavior for Migraine: Implications for Depression Comorbidity among Disadvantaged Women[J]. ANS Adv Nurs Sci,2015,38(1):34-44.DOI:10.1097/ANS.0000000000000059. [6] 施龙永. 抑郁对心力衰竭患者因心因及全因死亡风险影响的Meta分析[J]. 护理学报, 2016,23(14):60-64. DOI:10.16460/j.issn1008-9969.2016.14.060. [7] 王芳,袁丽,李饶,等. 住院2型糖尿病患者焦虑抑郁状况及影响因素分析[J]. 护理学报, 2015,22(14):28-31. DOI:10.16460/j.issn1008-9969.2015.14.028. [8] Feinstein A R.The Pre-therapeutic Classification of Comorbidity in Chronic Disease[J]. Journal of Chronic Diseases, 1970,23(7):455-468. DOI:10.1016/0021-9681(70)90054-8. [9] Stubbs B, Vancampfort D, Veronese N, et al.Depression and Physical Health Multimorbidity: Primary Data and Country-wide Meta-analysis of Population Data from 190593 People across 43 Low- and Middle-income Countries[J]. Psychol Med,2017,47(12):2107-2117.DOI:10.1017/S0033291717000551. [10] Holvast F, van Hattem B A, Sinnige J, et al. Late-life Depression and the Association with Multimorbidity and Polypharmacy: A Cross-sectional Study[J]. Fam Pract, 2017,34(5):539-545. DOI:10.1093/fampra/cmx018. [11] Amaral T, Amaral C A, Lima N S, et al.Multimorbidity, Depression and Quality of Life among Elderly People Assisted in the Family Health Strategy in Senador Guiomard, Acre, Brazil[J]. Cien Saude Colet, 2018,23(9):3077-3084. DOI:10.1590/1413-81232018239.22532016. [12] 常峰,张冉,路云,等. 共病概念体系研究分析与设计[J]. 中国全科医学, 2018,21(3):256-260. DOI:10.3969/j.issn.1007-9572.2017.00.219. [13] Valderas J M, Starfield B, Sibbald B, et al.Defining Comorbidity: Implications for Understanding Health and Health Services[J]. Ann Fam Med, 2009,7(4):357-363.DOI:10.1370/afm.983. [14] 中华医学会精神科学会. 中国精神疾病分类方案与诊断标准[M]. 南京:东南大学出版社, 1995:48-49. [15] Rhebergen D, Graham R.The Re-labelling of Dysthymic Disorder to Persistent Depressive Disorder in DSM-5: Old Wine in New Bottles?[J]. Curr Opin Psychiatry, 2014,27(1):27-31.DOI:10.1097/YCO.0000000000000022. [16] Smarr K L, Keefer A L. Measures of Depression and Depressive Symptoms: Beck Depression Inventory-II (BDI-II), Center for Epidemiologic Studies Depression Scale (CES-D), Geriatric Depression Scale (GDS), Hospital Anxiety and Depression Scale (HADS),Patient Health Questionnaire-9 (PHQ-9)[J]. Arthritis Care Res (Hoboken), 2011,63 Suppl11:S454-S466. DOI:10.1002/acr.20556. [17] Kessler R C, Walters E E. Epidemiology of DSM-III-R Major Depression and Minor Depression among Adolescents and Young Adults in the National Comorbidity Survey[J]. Depress Anxiety, 1998,7(1):3-14. DOI:10.1002/(sici)1520-6394(1998)7:1<3::aid-da2>3.0.co;2-f. [18] Hong J S, Tian J.Prevalence of Anxiety and Depression and Their Risk Factors in Chinese Cancer Patients[J]. Support Care Cancer,2014, 22(2):453-459. DOI:10.1007/s00520-013-1997-y. [19] Pajak A, Jankowski P, Kotseva K, et al.Depression, Anxiety, and Risk Factor Control in Patients after Hospitalization for Coronary Heart Disease: The EUROASPIRE III Study[J]. Eur J Prev Cardiol, 2013,20(2):331-340. DOI:10.1177/2047487312441724. [20] Ren Y, Yang H, Browning C, et al.Prevalence of Depression in Coronary Heart Disease in China: A Systematic Review and Meta-analysis[J]. Chin Med J (Engl),2014,127(16):2991-2998.DOI:10.3760/cma.j.issn.0366-6999.20140036. [21] Smith D J, Court H, McLean G, et al. Depression and Multimorbidity: A Cross-sectional Study of 1,751,841 Patients in Primary Care[J]. J Clin Psychiatry, 2014,75(11):1202-1208, 1208.DOI:10.4088/JCP.14m09147. [22] Lott T F, Blazey M E, West M G.Patient Participation in Health Care: An Underused Resource[J]. Nurs Clin North Am, 1992,27(1):61-76. [23] 李小妹. 护理学导论[M]. 北京:人民卫生出版社,2012:253-260. [24] Strong V, Waters R, Hibberd C, et al.Management of Depression for People with Cancer (SMaRT oncology 1): A randomised trial[J]. Lancet,2008,372(9632):40-48. DOI:10.1016/S0140-6736(08)60991-5. [25] Katon W J, Lin E H, Von Korff M, et al.Collaborative Care for Patients with Depression and Chronic Illnesses[J]. N Engl J Med,2010,363(27):2611-2620.DOI:10.1056/NEJMoa1003955. [26] Coventry P, Lovell K, Dickens C, et al.Integrated Primary Care for Patients with Mental and Physical Multimorbidity: Cluster Randomised Controlled Trial of Collaborative Care for Patients with Depression Comorbid with Diabetes or Cardiovascular Disease[J]. BMJ,2015,350:h638. DOI:10.1136/bmj.h638. [27] Knowles S E, Chew-Graham C, Adeyemi I, et al.Managing Depression in People with Multimorbidity: A Qualitative Evaluation of an Integrated Collaborative Care Model[J]. BMC Fam Pract,2015,16:32.DOI:10.1186/s12875-015-0246-5. [28] Nezu A M.A Problem-solving Formulation of Depression: A literature Review and Proposal of a Pluralistic Model[J]. Clin Psychol Rev, 1987, 7(2):121-144. DOI:10.1016/0272-7358(87)90030-4. [29] Villamil-Salcedo V, Vargas-Terrez B E, Caraveo-Anduaga J, et al. Glucose and Cholesterol Stabilization in Patients with Type 2 Diabetes Mellitus with Depressive and Anxiety Symptoms by Problem-solving Therapy in Primary Care Centers in Mexico City[J]. Prim Health Care Res Dev, 2018,19(1):33-41. DOI:10.1017/S1463423617000512. [30] Shippee N D, Shah N D, May C R, et al.Cumulative Complexity: A Functional, Patient-centered Model of Patient Complexity Can Improve Research and Practice[J]. J Clin Epidemiol, 2012,65(10):1041-1051. DOI:10.1016/j.jclinepi.2012.05.005. [31] Oni T, McGrath N, BeLue R, et al. Chronic Diseases and Multi-morbidity-A Conceptual Modification to the WHO ICCC Model for Countries in Health Transition[J]. BMC Public Health, 2014,14:575. DOI:10.1186/1471-2458-14-575. [32] Feldstain A, Lebel S, Chasen M R.An Interdisciplinary Palliative Rehabilitation Intervention Bolstering General Self-efficacy to Attenuate Symptoms of Depression in Patients Living with Advanced Cancer[J]. Support Care Cancer,2016,24(1):109-117. DOI:10.1007/s00520-015-2751-4. [33] Lorig K R, Holman H.Self-management Education: History, Definition, Outcomes, and Mechanisms[J]. Annals Behav Med, 2003, 26(1):1-7. [34] Hanlon P, Daines L, Campbell C, et al.Telehealth Interventions to Support Self-management of Long-term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer[J]. J Med Internet Res, 2017,19(5):e172. DOI:10.2196/jmir.6688. [35] Jerant A, Kravitz R, Moore-Hill M, et al.Depressive Symptoms Moderated the Effect of Chronic Illness Self-management Training on Self-efficacy[J]. Med Care, 2008,46(5):523-531. DOI:10.1097/MLR.0b013e31815f53a4. [36] Bayliss E A, Ellis J L, Steiner J F.Barriers to Self-management and Quality-of-life Outcomes in Seniors with Multimorbidities[J]. Ann Fam Med,2007,5(5):395-402. DOI:10.1370/afm.722. [37] Stack R J, Elliott R A, Noyce P R, et al.A Qualitative Exploration of Multiple Medicines Beliefs in Co-morbid Diabetes and Cardiovascular Disease[J]. Diabet Med, 2008,25(10):1204-1210. DOI:10.1111/j.1464-5491.2008.02561.x. [38] Detweiler-Bedell J B, Friedman M A, Leventhal H, et al. Integrating Co-morbid Depression and Chronic Physical Disease Management: Identifying and Resolving Failures in Self-regulation[J]. Clin Psychol Rev, 2008,28(8):1426-1446. DOI:10.1016/j.cpr.2008.09.002. [39] Harrison M, Reeves D, Harkness E, et al.A Secondary Analysis of the Moderating Effects of Depression and Multimorbidity on the Effectiveness of a Chronic Disease Self-management Programme[J]. Patient Educ Couns, 2012,87(1):67-73. DOI:10.1016/j.pec.2011.06.007. |
| [1] | 李嫒, 庞艳, 林芳初, 涂素华. 婴幼儿顺应喂养的研究进展[J]. 护理学报, 2020, 27(7): 34-37. |
| [2] | 方金林, 叶红芳, 沈孟菲, 赵晓婷. 护士对员工援助计划的应用需求现状[J]. 护理学报, 2020, 27(4): 21-24. |
| [3] | 汤琳, 孟爱凤, 智晓旭, 邾萍, 浦亚楼, 路莉静. 癌症青年患者社会心理干预的研究进展[J]. 护理学报, 2020, 27(12): 10-13. |
| [4] | 冯尘尘, 王蒙蒙, 唐秀美, 周煜, 赵淑珍. 早期压力性损伤识别方法研究进展[J]. 护理学报, 2019, 26(3): 20-23. |
| [5] | 邓爱萍, 吴妹清, 袁平乔, 杨玲. 帕金森病患者睡眠障碍研究进展[J]. 护理学报, 2019, 26(18): 27-31. |
| [6] | 田丽, 李梦媛, 李佳倩, 朱冰洁, 张青月, 阎玲. COPD患者预立医疗照护计划的研究进展[J]. 护理学报, 2019, 26(17): 22-26. |
| [7] | 鲍祎敏, 成华艳, 欧阳旭平, 胡素文, 王敏, 陈丹. 二胎产妇配偶产后抑郁现状及影响因素分析[J]. 护理学报, 2019, 26(17): 73-76. |
| [8] | 尹玲, 胡燕华, 郑凤华, 冉栩. 儿童日间手术焦虑情绪管理研究现状[J]. 护理学报, 2019, 26(15): 27-30. |
| [9] | 何登鑫, 范秀珍. 健康素养在心功能衰竭患者抑郁与自护维持的中介作用[J]. 护理学报, 2019, 26(11): 15-19. |
| [10] | 孙骏玉,束娇娇,帕丽达·买买提. 国内外护生职业认同研究现状与思考[J]. 护理学报, 2018, 25(9): 31-34. |
| [11] | 郭一峰, 陈亚萍, 王晓杰, 徐园, 马玉芬. 国外急性深静脉血栓患者应用弹力袜治疗的研究进展[J]. 护理学报, 2018, 25(21): 24-28. |
| [12] | 黎喆, 丁欣. 衰弱评估在主动脉瓣狭窄患者中的应用进展[J]. 护理学报, 2018, 25(20): 14-17. |
| [13] | 刘瑞红,张霞,万晶晶,谭文红. 肾移植术后妊娠风险评估研究进展[J]. 护理学报, 2018, 25(2): 33-36. |
| [14] | 胡嘉玳, 胡艳杰, 李继平, 罗艳丽. 中美静脉治疗专科护士职能需求和使用比较及启示[J]. 护理学报, 2018, 25(19): 29-33. |
| [15] | 吴茜,陈蓓敏,吴哓哓,金爱萍,施雁. 国内外痴呆发病风险预测模型研究进展[J]. 护理学报, 2018, 25(12): 34-39. |
|