协同护理模式在青少年抑郁障碍患者中的效果研究

Effect of collaborative nursing model in adolescent patients with depressive disorder

目的 探讨基于正念认知疗法的协同护理模式对青少年抑郁障碍患者反刍思维及心理韧性的干预效果。方法 采用便利抽样法,选取2021年8月-2022年10月在太原市某三级甲等医院精神卫生科住院且符合标准的140例青少年抑郁障碍患者作为研究对象,采用随机数字表将其分为观察组和对照组各70例。2组均接受常规护理,观察组在对照组的基础上实施基于正念认知疗法的协同护理模式。2组分别在干预前、干预8周及干预后3个月采用抑郁自评量表(SDS)、反刍思维量表(RRS)及青少年心理韧性量表(RSCA)评估2组干预效果。结果 干预8周、干预3个月后,观察组青少年抑郁障碍患者反刍思维量表得分均低于干预前和对照组(P<0.05),心理韧性量表得分高于干预前和对照组(P<0.05)。结论 基于正念认知疗法的协同护理模式能够有效降低青少年抑郁障碍患者的反刍思维水平,提高患者的心理韧性水平,促进患者的心理康复,预防青少年抑郁障碍疾病的复发。

Objective To explore the intervention effect of collaborative nursing model based on mindfulness-based cognitive therapy on rumination toughness and psychological resilience of adolescent patients with depression disorder.Methods A total of 140 eligible adolescent patients with depression disorder who were hospitalized in the psychiatric health department of a Grade-Ⅲhospital in Taiyuan from August 2021 to October 2022 were selected as research objects by using convenience sampling method,and were divided into experimental group(70 cases)and control group(70 cases)by random number table.Both groups received routine nursing,and the experimental group received collaborative nursing mode based on mindfulness cognitive therapy on the basis of the control group.The Self-Rating Depression Scale(SDS),Ruminative Responses Scale(RRS),and Resilience Scale for Chinese Adolescent(RSCA)were used to evaluate the intervention effects between 2 groups before intervention,8 weeks and 3 months after intervention,respectively.Results After 8 weeks and 3 months of intervention,scores of RRS in adolescent patients with depressive disorder in experimental group were lower than before intervention and control group(P<0.05),scores of RSCA in experimental group were higher than before intervention and control group(P<0.05).Conclusion The collaborative nursing mode based on mindfulness-based cognitive therapy can effectively reduce the level of rumination toughness in adolescent patients with depressive disorder,improve the level of psychological resilience of patients,promote the psychological rehabilitation of patients,and prevent the recurrence of adolescent depressive disorder.