自我关怀团体心理干预对青少年抑郁症患者抑郁程度、治疗依从性、应对方式、病耻感的影响

Effects of self-care group psychological intervention on depression degree,treatment compliance,coping style and stigma in adolescents with depression

目的:探讨自我关怀团体心理干预在青少年抑郁症患者中的应用价值。方法:收集2022年10月到2023年10月河南省荣康医院收治的102例青少年抑郁症患者,按护理方法不同分为常规组(n=51)和团体心理干预组(n=51),常规组治疗期间行常规护理干预,团体心理干预组在常规护理基础上行自我关怀团体心理干预。干预8 w后,比较两组抑郁情绪[汉密尔顿抑郁量表(Hamilton depression rating scale,HAMD)]、治疗依从性、应对方式[简易应对方式问卷(Simple coping style questionnaire,SCSQ)]、病耻感[慢性病病耻感量表(Stigma scale for chronic illness,SSCI)]、家属满意度。结果:干预后,团体心理干预组HAMD评分、消极应对评分、SSCI评分低于常规组,积极应对评分高于常规组(P<0.05);团体心理干预组配合检查、遵医用药、物理治疗、适量运动评分均高于常规组(P<0.05);团体心理干预组家属满意度高于常规组(P<0.05)。结论:青少年抑郁症患者实施自我关怀团体心理干预能改善抑郁情绪,减轻病耻感,促进其以积极的心态应对疾病,进而提高治疗依从性和家属满意度。

Objective:To explore the application value of self-care group psychological intervention in adolescents with depression.Methods:102 adolescent patients with depression admitted to Rongkang Hospital in Henan Province from October 2022 to October 2023 were collected and divided into routine group(n=51)and group psychological intervention group(n=51)according to different nursing methods.Routine group received routine nursing intervention during treatment,group psychological intervention group received self-care group psychological intervention based on routine nursing.After 8 weeks of intervention,depressive mood[hamilton depression rating scale(HAMD)],treatment compliance,coping style questionnaire[simple coping style questionnaire(SCSQ)],stigma[stigma scale for chronic illness(SSCI)],family satisfaction were compared between the two groups.Results:After intervention,HAMD score,negative coping score and SSCI score in group psychological intervention group were lower than those in routine group,and positive coping score was higher than that in routine group(P<0.05);the scores of examination,medical medicine,physical therapy and moderate exercise in group psychological intervention group were higher than those in routine group(P<0.05);family satisfaction in group psychological intervention group was higher than that in routine group(P<0.05).Conclusion:Self-care group psychological intervention in adolescents with depression can improve depressive mood,reduce stigma,promote them to deal with the disease with a positive attitude,and then improve treatment compliance and family satisfaction.