叙事护理联合有氧-抗阻运动对青少年抑郁症患者抑郁症状及应对方式的影响

杨晓妍; 陈晶; 张惠玲; 许冬琴

doi:10.16766/j.cnki.issn.1674-4152.003763

叙事护理联合有氧-抗阻运动对青少年抑郁症患者抑郁症状及应对方式的影响

doi: 10.16766/j.cnki.issn.1674-4152.003763

1.
绍兴市第七人民医院焦虑障碍科，浙江绍兴 312000
2.
绍兴市第七人民医院精神三病区
3.
绍兴市第七人民医院儿童精神科

基金项目:

浙江省医药卫生科技计划项目 2023KY1272

详细信息

通讯作者:
杨晓妍，E-mail：lwxy2024@163.com

中图分类号: R749.05 R473.74
计量
- 文章访问数: 18
- HTML全文浏览量: 8
- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2024-07-09
- 网络出版日期: 2024-12-31

The effect of narrative nursing combined with aerobic resistance exercise on depression symptoms and coping strategies in adolescent depression patients

1.
Anxiety Disorder Department, Shaoxing Seventh People' s Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的抑郁症及其导致的不良后果已成为青少年第三大死亡原因，本研究分析叙事护理联合有氧-抗阻运动对青少年抑郁症患者抑郁症状、应对方式的影响，探讨临床切实可行的干预方法。方法选取2022年5月—2024年3月绍兴市第七人民医院收治的112例青少年抑郁症患者，采用随机数字表法分为对照组(56例)和观察组(56例)。对照组采用常规护理，观察组应用叙事护理联合有氧-抗阻运动。比较2组患者干预前后抑郁情绪、应对方式及自尊水平。结果干预后，观察组抑郁自评量表(SDS)及汉密尔顿抑郁量表(HAMD)得分分别为(59.33±8.61)分、(11.28±2.13)分，均低于对照组[(64.04±10.24)分、(15.55±2.77)分，P < 0.05]。干预后，观察组医学应对方式问卷(MCQM)中面对维度得分为(21.77±2.84)分，高于对照组[(16.58±3.95)分]，且屈服与回避维度得分分别为(10.66±2.53)分、(14.35±2.57)分，均低于对照组[(14.12±2.74)分、(18.77±3.49)分]，差异均有统计学意义(P < 0.05)。干预后，观察组自尊量表(SES)得分为(25.06±3.18)分，高于对照组[(21.35±2.94)分，P < 0.05]。结论叙事护理联合有氧-抗阻运动能有效减轻青少年抑郁症患者抑郁症状、提高患者自尊水平，使其有信心选择积极的方式面对疾病。
- 青少年抑郁症 /
- 叙事护理 /
- 有氧运动 /
- 抗阻运动 /
- 自尊 /
- 应对方式
Abstract: Objective Depression and its adverse consequences have become the third reason for the death among youngsters depression. This study explores the impact of narrative nursing combined with aerobic resistance exercise on depression symptoms and coping strategies in adolescent depression patients, providing a practical and feasible intervention method for clinical practice. Methods A total of 112 adolescent depression patients admitted to the Shaoxing Seventh People' s Hospital from May 2022 to March 2024 were selected and randomly split into a control group and an observation group with 56 cases. The control team applied routine care, while the observation group received narrative care combined with aerobic resistance exercise on the basis of the control group. The levels of depression, coping strategies, and self-esteem between two groups of patients before and after the intervention were compared. Results After the intervention, the scores of the self-rating depression scale (SDS) and hamilton depression rating scale (HAMD) in the observation group were (59.33±8.61) points and (11.28±2.13) points, respectively, which were lower than that of the control group [(64.04±10.24) pints and (15.55±2.77) points, P < 0.05]. After the intervention, the face-to-face dimension score in the medical coping style questionnaire (MCQM) of the observation group was (21.77±2.84) points, which was higher than that of the control group [(16.58±3.95) points], and the yielding and avoidance dimension scores were (10.66±2.53) points and (14.35±2.57) points, respectively, which were lower than that of the control group [(14.12±2.74) points, (18.77±3.49) points, P < 0.05]. After the intervention, the self-esteem scale (SES) score of the observation group was (25.06±3.18) points, which was higher than that of the control group [(21.35±2.94) points, P < 0.05]. Conclusion Narrative nursing combined with aerobic resistance exercise can effectively alleviate depressive symptoms in adolescent depression patients, improve their self-esteem, and make them confident in choosing positive ways to face the disease.
- Adolescent depression /
- Narrative care /
- Aerobic exercise /
- Resistance movement /
- Self esteem /
- Coping style

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表 1 2组青少年抑郁症患者一般资料比较

Table 1. Comparison of general information between two groups of adolescents with depression

项目	对照组 (n=56)	观察组 (n=56)	统计量	P值
性别(例)			0.334^a	0.563
男	24	21
女	32	35
年龄(x±s，岁)	17.01±0.45	16.83±0.74	1.555^b	0.123
文化程度(例)			0.346^a	0.556
初中	19	22
高中/中专	37	34
家族精神病史(例)			0.538^a	0.436
有	3	5
无	53	51
病程时间(x±s，月)	10.33±2.87	10.17±2.65	0.307^b	0.760
父母文化程度(例)			0.636^a	0.728
中专及以下	4	6
高中	22	19
大专及以上	30	31
父母婚姻状况(例)			0.175^a	0.676
正常	41	39
离异/丧偶	15	17
注：^a为χ²值，^b为t值。

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表 2 2组青少年抑郁症患者抑郁情绪状况比较(x ±s，分)

Table 2. Comparison of depressive mood between two groups of adolescent depression patients (x ±s, points)

组别	例数	SDS		HAMD
组别	例数	干预前	干预后	干预前	干预后
对照组	56	69.68±11.72	64.04±10.24	23.17±3.31	15.55±2.77
观察组	56	70.23±10.83	59.33±8.61	22.96±2.85	11.28±2.13
统计量		0.258^a	2.731^b	0.360^a	8.753^b
P值		0.767	0.010	0.720	< 0.001
注：^a为t值，^b为F值。

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表 3 2组青少年抑郁症患者医学应对方式比较(x ±s，分)

Table 3. Comparison of medical coping styles between two groups of adolescents with depression (x ±s, points)

组别	例数	面对		屈服		回避
组别	例数	干预前	干预后	干预前	干预后	干预前	干预后
对照组	56	15.23±3.18	16.58±3.95	15.28±1.86	14.12±2.74	21.15±2.53	18.77±3.49
观察组	56	14.76±2.94	21.77±2.84	14.97±2.20	10.66±2.53	20.86±2.64	14.35±2.57
统计量		0.812^a	7.315^b	0.805^a	6.840^b	0.593^a	7.221^b
P值		0.418	< 0.001	0.422	< 0.001	0.554	< 0.001
注：^a为t值，^b为F值。

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表 4 2组青少年抑郁症患者自尊水平比较(x ±s，分)

Table 4. Comparison of self-esteem level between two groups of adolescents with depression (x ±s, points)

组别	例数	SES
组别	例数	干预前	干预后
对照组	56	20.20±2.55	21.35±2.94
观察组	56	20.47±2.71	25.06±3.18
统计量		0.543^a	5.933^b
P值		0.588	< 0.001
注：^a为t值，^b为F值。

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