叙事护理对青少年抑郁症患者心理弹性、自尊及服药依从性的影响

Effects of narrative nursing on psychological resilience, self-esteem, and medication compliance in adolescent depression patients

目的:探讨叙事护理对青少年抑郁症患者心理弹性、自尊及服药依从性的影响。方法:本研究为类实验研究,采用便利抽样法,选取2021年8月—2022年1月在山西医科大学第一医院精神卫生科住院的86例青少年抑郁症患者为研究对象,根据住院时间的前后顺序分为对照组和干预组,各43例。对照组实施常规护理,干预组在常规护理基础上实施叙事护理,比较两组患者干预前后抑郁自评量表(SDS)、汉密尔顿抑郁量表(HAMD)、自尊量表(SES)、心理弹性量表(CD-RISC)、Morisky用药依从性量表评分。结果:干预前,两组SDS、HAMD、SES、CD-RISC、Morisky用药依从性评分比较,差异均无统计学意义(P>0.05);干预后,干预组SDS和HAMD总分均低于干预前及对照组,坚韧、乐观、自强、CD-RISC总分、SES和Morisky用药依从性评分均高于干预前及对照组,差异有统计学意义(P<0.05)。结论:叙事护理能够改善青少年抑郁症患者抑郁情绪,提高患者的心理弹性、自尊水平和服药依从性,可以在临床推广应用。

Objective To explore the effect of narrative nursing on the psychological resilience,self-esteem,and medication compliance of adolescent depression patients.Methods This study is a quasi-experimental study.From August 2021 to January 2022,86 adolescent depression patients admitted to the Department of Mental Health at the First Hospital of Shanxi Medical University were selected as the subject by convenience sampling.According to the order of admission time,the patients were divided into a control group and an intervention group,with 43 patients in each group.The control group received routine nursing,while the intervention group received narrative nursing on the basis of routine nursing.We compared the scores of the Self-Rating Depression Scale(SDS),Hamilton Depression Scale(HAMD),Self-Esteem Scale(SES),Connor-Davidson Resilience Scale(CD-RISC),and Morisky Medication Adherence Scale(MMAS-8)before and after intervention between two groups of patients.Results Before intervention,there was no statistically significant difference in SDS,HAMD,SES,CD-RISC,and MMAS-8 scores between the two groups(P>0.05).After intervention,the total scores of SDS and HAMD in the intervention group were lower than those before intervention and in the control group,and the toughness,optimism,self-improvement scores and the CD-RISC total score,SES scores and MMAS-8 scores were higher than those before intervention and in the control group,with statistically significant differences(P<0.05).Conclusions Narrative nursing can improve the depressive mood of adolescent depression patients,enhance their psychological resilience,self-esteem,and medication compliance,and can be promoted and applied in clinical practice.