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[目的]评价实施医院-社区-家庭一体化服务对抑郁症病人自杀风险的影响。[方法]将110例出院抑郁症病人随机分为研究组54例和对照组56例。对照组住院期间给予常规护理、康复和出院随访指导,研究组在此基础上接受医院-社区-家庭一体化服务模式。在入组时、入组6个月末对两组病人进行自杀意念自评量表测评分析。[结果]干预6个月后研究组与对照组自杀意念自评量表中绝望、睡眠、乐观因子得分比较差异有统计学意义(P<0.05);研究组干预6个月末病人自杀意念自评量表中绝望、睡眠、乐观因子得分优于干预前(P<0.05)。[结论]医院-社区-家庭一体化服可模式能有效地降低抑郁症病人自杀风险,保障病人安全。
[Objective] To evaluate the impact of the implementation of hospital-community-family integration service on the suicide risk of depression patients. [Methods] A total of 110 discharged patients with depression were randomly divided into study group (54 cases) and control group (56 cases). The control group was given routine care, rehabilitation and follow-up guidance during hospitalization. On the basis of this, the research group accepted the hospital-community-family integration service model. At the end of enrollment, the suicidal ideation and self-rating scales of two groups were measured and evaluated at the end of 6 months. [Results] The scores of despair, sleep and optimism in the self-rating scale of suicidal ideation in study group and control group after 6 months of intervention were significantly different (P <0.05). At the end of 6 months of intervention, the self-assessment of suicidal ideation Scale desperation, sleep, optimistic factor scores better than before intervention (P <0.05). [Conclusion] The hospital-community-family integration model can effectively reduce the risk of suicide in patients with depression and ensure patient safety.