该论文来源于网络，本站转载的论文均是优质论文，供学习和研究使用，文中立场与本网站无关，版权和著作权归原作者所有，如有不愿意被转载的情况，请通知我们删除已转载的信息，如果需要分享，请保留本段说明。 摘 要 目的：评估家庭医生团队干预对社区脑卒中后抑郁（PSD）患者抑郁情绪和日常生活能力的影响。方法：选择2016年7月至2017年12月在上海市某社区内的PSD患者90例，按照随机数字表法分为干预组45例和对照组45例。对照组采用基础康复指导和必要的抗抑郁治疗，干预组在对照组的基础上实施家庭医生团队干预。比较两组患者的抑郁状况和生活能力。结果：干预36周后，干预组的总有效率明显高于对照组（%%，P<）；干预12周、24周、36周后，干预组的汉密顿抑郁量表（HAMD）和抑郁自评量表（SDS）评分均明显低于对照组（P<）；日常生活能力量表（ADL）评分明显高于对照组（P<）。结论：家庭医生团队综合干预可有效改善PSD患者的抑郁情绪和日常生活能力。 关键词 脑卒中后抑郁；家庭医生团队干预；康复效果 中图分类号： 文献标志码：A 文章编号：1006-1533（2019）10-0056-03 The effect of rehabilitation of family doctor team intervention on community poststroke depression patients CHEN Wen， JIANG Bin， ZHU Huixian， YANG Zhujie， XU Guangzheng， PENG Lei， WEI Jing （General Practice Clinic of Xujiahui Community Health Center of Xuhui District， Shanghai 200030， China） ABSTRACT Objective： To evaluate the effect of family doctor team intervention on depression and daily living ability of patients with post-stroke depression（PSD） in a community. Methods： Ninety patients with PSD in a community in Shanghai from July 2016 to December 2017 were selected and according to the random number table method divided into an intervention group with 45 cases and a control group with 45 cases. The control group used basic rehabilitation guidance and necessary anti-depression treatment， and the intervention group implemented family doctor team intervention on the basis of the control group. The depression status and life ability of the two groups were compared. Results： After 36 weeks of intervention， the total effective rate of the intervention group was significantly higher than that of the control group（% vs. %， P<）； after 12， 24 and 36 weeks of intervention， the scores of Hamilton depression scale（HAMD） and self-rating depression scale（SDS） of the intervention group were significantly lower than those of the control group（P<0
