【摘要】 目的 探究家庭医生制服务工作模式下的心理干预对老年轻度抑郁症患者的抑郁情况和生活质量的影响。方法 于2022年3月～2022年12月选取137例轻度老年抑郁症（LLD）患者使用随机化法分为对照组和干预组，对照组采用常规随访干预，干预组在常规随访的基础上给予家庭医生团队服务。使用一般情况调查问卷、老年抑郁量表（GDS）、健康调查问卷简式版（SF-36）和满意度调查问卷进行问卷调查。结果 对照组和干预组的研究对象在年龄、性别、患慢性病情况、婚姻情况等方面具有相似性，差异均不显著（P>0.05）。对照组的研究对象在研究过程中GDS量表评分结果相似，差异无显著性（P>0.05）。干预组的研究对象在研究前GDS量表评分高于研究12个月后的结果，差异显著（P<0.05），而其他相互比较均无显著性差异（P>0.05）。两组在研究前、研究6个月后的GDS量表评分以及研究前的SF-36量表评分方面具有相似性，差异均不显著（P>0.05）。研究12个月后，对照组的GDS量表评分高于干预组，且社会功能评分、情感职能评分和精神健康评分等生活质量指标以及对所提供服务的满意度均低于干预组，差异具有统计学意义（P<0.05）。结论 家庭医生制服务工作模式的心理干预措施对于轻度LLD患者有着一定效果，尤其是长期开展坚持此活动，对患者帮助更佳。更多还原

【Abstract】 Objective To explore the impact of psychological interventions under the family doctor service model on depression and quality of life in elderly patients with mild depression. Methods From March 2022 to December 2022, 137 cases of mild late-life depression(LLD) patients were selected and randomized into control and intervention groups. The control group received routine follow-up interventions, while the intervention group received additional services from a family doctor team on top of routine follow-ups. Questionnaire surveys were conducted using general demographic surveys, geriatric depression scale(GDS), short form 36 health survey(SF-36), and satisfaction surveys. Results There were no significant differences between the control group and the intervention group in terms of age, gender, chronic diseases, marital status, etc.(P>0.05). The GDS scale scores were similar in the control group, but there was no significant difference(P>0.05). The GDS scale scores of the participants in the intervention group were significantly higher than those after 12 months of the study(P<0.05), while there was no significant difference in other comparisons(P>0.05).There were no significant differences between the two groups in terms of GDS scale scores before the study, 6 months after the study, and SF-36 scale scores before the study(P>0.05). After 12 months of study, the GDS scale score of the control group was higher than that of the intervention group,and the quality of life indicators such as social function score, emotional function score and mental health score, as well as satisfaction with the services provided were lower than those of the intervention group, and the difference was statistically significant(P<0.05). Conclusion The psychological intervention measures of the family doctor system service work model have certain effects on patients with mild LLD, especially long-term persistence of this activity will help patients better.更多还原