ĐÁNH GIÁ HIỆU QUẢ ĐIỀU TRỊ ĐAU Ở GIAI ĐOẠN TRẦM CẢM NGƯỜI GIÀ

Abstract

Objective: To evaluate the effectiveness of treatment for elderly depression with pain. Subjects and methods: Using a cross-sectional descriptive method, analyzing the effectiveness of treatment for pain by directly interviewing and testing VAS, GDS on 50 the elderly in-patients diagnosed major depressive disorder having pain at the National Institute of Mental Health –Bachmai Hospital, using VAS, GDS for these patients, and checking records of patients. Results: 84.0% of patients used a combination of antidepressants, neuroleptics and tranquilizers; the number of pain sites reduced by 2.26 ± 1.45, the VAS pain level decreased by 3.2 ± 0.99 points, the level of depression on the GDS scale reduced by 7.3 ± 7.21 points, there was a statistically significant difference. there was no difference bettwen pain relief in the levels of depression, anticholinergic was the most common side effects (52.0%). Conclusion: Majority of patients used the combination of drugs, pain symptoms improved significantly and depression was reduced together. However, there was no difference bettwen pain relief in the degrees of depression. The most common adverse drug reaction in elderly depression is anticholinergic.