The role of depression in rehabilitation of geriatric patients with hip fracture

被引：0
|
作者：
Müller-Thomsen, T
Tabrizian, S
Mittermeier, O
机构：
[1] Univ Hamburg, Klinikum Eppendorf, Klin Psychiat & Psychotherapie, D-20246 Hamburg, Germany
[2] Bethanien Krankenhaus, Klin Geriatr Rehabil, Frankfurt, Germany
来源：
ZEITSCHRIFT FUR GERONTOLOGIE UND GERIATRIE | 2003年 / 36卷 / 02期
关键词：
hip fracture; depression; Barthel-Index; course of rehabilitation; anti-depressive treatment;
D O I：
10.1007/s00391-003-0092-2
中图分类号：
R592 [老年病学]; C [社会科学总论];
学科分类号：
03 ; 0303 ; 100203 ;
摘要：
The effect of depression on the rehabilitation course of 64 geriatric inpatients with hip fracture was examined. At the beginning of treatment 38.5% had a depressive disorder according to GDS-15. After 3 weeks it was still 32%, although in 7 patients the GDS-score had decreased. Additionally, 18% had a cognitive disorder (MMSE < 24). There was a correlation between depression and Barthel-Index at the start of treatment (58.4; SD 14.7 vs 48.3; SD 21.8; ANOVA; p < 0.01), Barthel-Index at discharge (86.1; SD 13.1 vs 75.0; SD 25.11; ANOVA; p < 0.01), mobility measured by timed "Up and Go" (Chi(2); p <0.01) and the number of prescribed drugs, as equivalent for severity of somatic diseases. Treatment of depression was inadequate in the beginning and at follow-up. Treated patients had a better outcome than untreated.
引用
收藏
页码：138 / 142
页数：5
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