The teaching platform of the TCM daycare clinics for depression patients will provide a good clinical training environment for the trainees. They can learn how to take care of depression patients by the lectures and the clinical practice experiences in the daycare clinics. They can also learn a holistic approach, a patient-centered healthcare service. This teaching model will strengthen the clinical training of TCM and enhance the international competitiveness of TCM doctors.
Major depressive disorder (MDD) is a serious psychiatric illness with a high lifetime prevalence rate and causes major clinical, social and economic burden to patients and their family. Despite that more than 40 antidepressants with various mechanisms are available on the market, half of patients fail to achieve remission with optimized medication treatment because of unsatisfactory efficacy, frequent intolerability and poor compliance of pharmacotherapies. However, Traditional Chinese medicine (TCM) is a safe and effective therapy which has many previous evidences to improve the treatment of depression. The aim of this project is to build up a TCM clinical daycare model for depression patients, and to establish a teaching platform for TCM trainees. The TCM daycare model will be provided by a team organized by doctors, nurses, pharmacists, psychologist, nutritionist and case managers. This model will provide a comprehensive TCM care system to improve the clinical symptoms and quality of life of depression patients.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
80
Traditional Chinese medicine clinical daycare
Department of Acupuncture, China Medical University Hospital
Taichung, Taiwan
Hamilton Depression Rating Scale, HAM-D
Each question of HAM-D is rated 3-5 points, eight questions are 0-2 points, nine questions are 0-4 points, and the total score is 0-52 points. Evaluate the emotional and physical and mental states observed in the case during the most recent week and interview.
Time frame: Start of treatment (day 0) and end of treatment (week 8)
Beck Depression Inventory(BDI)
Beck Depression Inventory assesses the degree of depression of 13-80 year olds, as a diagnosis and treatment reference
Time frame: Start of treatment (day 0) and end of treatment (week 8)
Pittsburgh Sleep Quality Inventory
It is suitable for the evaluation of sleep quality in patients with sleep disorders and mental disorders, and is also suitable for the evaluation of sleep quality in ordinary people.
Time frame: Start of treatment (day 0) and end of treatment (week 8)
WHOQOL-Taiwan
Four-dimension: Physiology + Independence; Psychology + Spirituality/Religion/Personal Belief;
Time frame: Start of treatment (day 0) and end of treatment (week 8)
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