标题：家庭医生制度模式在儿童抑郁症患者中的应用

      作者：叶晓丽，潘育林    (深圳市松岗人民医院儿科，广东 深圳 518105)

      卷次： 2018年29卷20期

      【摘要】 目的 探讨家庭医生制度模式在儿童抑郁症中的应用对患者情绪障碍的影响。方法 选择深圳市松岗人民医院2014年6月至2016年5月收治的儿童抑郁症患者64例作为研究对象，按照随机数表法分为观察组和对照组，每组32例。对照组患儿给予抗抑郁药物治疗，观察组患儿在对照组治疗的基础上接受家庭医生健康管理团队根据患儿抑郁症的发病因素及程度采取心理干预。两组患儿在干预前后均采用儿童流调用抑郁评定量表(CES-D)和儿童抑郁症自评量表(DSRS)进行评分，并对评分结果进行比较。结果 观察组患儿干预后的CES-D和DSRS评分分别为(26.83±3.59)分和(9.83±2.85)分，明显低于干预前的(37.86±6.17)分和(15.61±4.36)分，且与对照组干预后的(34.25±4.86)分和(13.68±3.97)分比较差异均有统计学意义(P<0.05)；对照组患儿干预后的CES-D评分也明显低于干预前的(37.52±6.08)分，差异有统计学意义(P<0.05)，但DSRS评分干预前后比较差异无统计学意义(P>0.05)。结论 家庭医生制度模式综合干预儿童抑郁取得良好疗效，可以广泛应用于抑郁患儿的康复。
      【关键词】 家庭医生制度模式；儿童抑郁；情绪障碍；综合干预；效果
      【中图分类号】 R749.4 【文献标识码】 A 【文章编号】 1003—6350（2018）20—2900—03

Application of family doctor system in children with depression.
YE Xiao-li, PAN Yu-lin. Department of Pediatrics,Shenzhen Songgang People's Hospital, Shenzhen 518105, Guangdong, CHINA
【Abstract】 Objective To discuss the influence of family doctor system on depression in children. Methods A to-tal of 64 cases of children with depression, who admitted to Shenzhen Songgang People's Hospital from June 2014 to May2016, were selected and divided into the observation group (n=32) and the control group (n=32) according to random numbertable method. The control group was treated with antidepressant drugs, and the observation group received family doc-tor's health management team based on the control group’s treatment. Psychological intervention was conducted ac-cording to the onset factors and degree of depression. The two groups of children were evaluated by the Center for Epi-demiological Studies-Depression (CES-D) and Depression Self-Rating Scale (DSRS), and the results were com-pared. Results The scores of CES-D and DSRS of the observation group after intervention were (26.83±3.59) and(9.83±2.85), which were significantly lower than (37.86±6.17) and (15.61±4.36) before the intervention, and the degreeof improvement was significantly better than (34.25±4.86) and (13.68±3.97) after intervention of the control group (P<0.05). The score of CES-D of the control group after intervention was (34.25±4.86), which was significantly lower than(37.52±6.08) in the control group before intervention (P<0.05); the DSRS score showed no statistically significant differ-ence before and after intervention in the control group (P>0.05). Conclusion The comprehensive intervention of chil-dren's depression through the family doctor system has a good effect, it can be widely used in the rehabilitation of chil-dren with depression.
      【Key words】 Family doctor system model; Children's depression; Emotional disorder; Comprehensive interven-tion; Effect·短篇论著·doi:10.3969/j.issn.1003-6350.2018.20.027