使用 PHQ-9 热图促进抑郁症患者的管理决策。

Steven L Rosas, Mark E Deyo-Svendsen, Rachael R Taylor, Michael R Taylor, Austin Fowler, Lauren Casey
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引用次数: 0

摘要

背景介绍抑郁症是就医患者普遍关注的问题。患者健康问卷-9(PHQ-9)是一种用于诊断和管理抑郁症的工具。研究发现,追踪单个症状得分而非多个症状得分的总和更能预测抑郁症的治疗反应:方法:我们回顾了 30 名初级保健随访患者的记录。我们讨论了三种患者的情况,并以彩色编码热图的形式展示了他们的 PHQ-9 数据(单个症状得分):结果:在展示的病例中,药物副作用、焦虑、甲状腺疾病和纤维肌痛被确定为 PHQ-9 调查得分的可能影响因素:讨论:热图有助于临床医生有效了解患者的临床状态。我们鼓励在电子病历系统中开发 PHQ-9 热图。
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Use of a PHQ-9 Heat Map to Facilitate Management Decisions in Patients With Depression.

Background: Depression is a common concern for patients seeking medical care. The Patient Health Questionnaire-9 (PHQ-9) is a tool used to diagnose and manage depression. Tracking individual symptom scores rather than the sum of multiple symptom scores has been found to be more predictive of depression treatment response.

Methods: The records of 30 patients who had a follow-up visit in primary care were reviewed. We discuss 3 patient scenarios and present their PHQ-9 data as individual symptom scores, in the form of a color-coded heat map.

Results: In the cases presented, medication side effects, anxiety, a thyroid disorder, and fibromyalgia were identified as possible influencers of the PHQ-9 survey scores.

Dsicussion: A heat map helped clinicians understand the patient's clinical status in an efficient manner. We encourage the development of a PHQ-9 heat map in electronic medical record systems.

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