Identification of Depressive Signs in Patients and Their Family Members During iPad-based Audiovisual Sessions.
Identification of Depressive Signs in Patients and Their Family Members During iPad-based Audiovisual Sessions.
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DOI：
10.1097/cin.0000000000000353
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发表时间：
2017-07
期刊：
影响因子：
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通讯作者：
Nelson EL
中科院分区：
文献类型：
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作者：
Smith CE;Werkowitch M;Yadrich DM;Thompson N;Nelson EL
家庭肠外营养需要静脉输注超过12小时以维持日常生活。对于经常患有抑郁症的患者和家庭护理人员来说，每日静脉输液家庭护理程序是一项严格且耗时的任务。本研究的目的是：(1) 评估家庭肠外营养患者和护理人员的抑郁情况，(2) 评估在使用 Apple iPad Mini 的视听讨论会议中是否可以看到抑郁迹象。在一项临床试验 (N = 126) 中，21 名参与者 (16.7%) 的子样本出现抑郁症状。在抑郁症患者中，13 名是家庭肠外营养患者，8 名是家庭护理人员；年龄范围为 20 至 79 岁（M = 48.9 岁；SD = 17.37）； 76.2%为女性。心理健康护士的个人评估发现了所有 21 人中与抑郁症状相关的因素。另一位护士在观看视听技术讨论会议的录像带时观察了参与者的抑郁迹象。结论是抑郁问卷、个体评估和使用视听技术的观察可以识别抑郁症状。考虑到通过技术提供的远程医疗保健服务不断增加，建议在所有视听互动过程中观察和评估已知的抑郁症体征和症状。
Home parenteral nutrition requires a daily life-sustaining intravenous infusion over 12 hours. The daily intravenous infusion home care procedures are stringent, time-consuming tasks for patients and family caregivers who often experience depression. The purposes of this study were: (1) to assess home parenteral nutrition patients and caregivers for depression, and (2) to assess whether depressive signs can be seen during audiovisual discussion sessions using an Apple iPad Mini. In a clinical trial (N = 126), a subsample of 21 participants (16.7%) had depressive symptoms. Of those with depression, 13 were home parenteral nutrition patients and eight were family caregivers; ages ranged from 20 to 79 years (with M = 48.9 years; SD = 17.37); 76.2% were female. Individual assessments by the mental health nurse found factors related to depressive symptoms across all 21. A different nurse observed participants for signs of depression when viewing the videotapes of the discussion sessions on audiovisual technology. Conclusions are that depression questionnaires, individual assessment, and observation using audiovisual technology can identify depressive symptoms. Considering the growing provision of health care at a distance, via technology, recommendations are to observe and assess for known signs and symptoms of depression during all audiovisual interactions.