基于Snyder希望理论联合感恩情绪干预对青少年抑郁症患者希望水平、抑郁及述情障碍的影响

Effects of Snyder′s hope theory combined with gratitude intervention on hope level,depression and alexithymia among adolescent patients with depression

摘要

目的 探讨基于Snyder希望理论联合感恩情绪护理干预方案对青少年抑郁症患者希望水平、抑郁、述情障碍的影响。方法 采用类实验研究设计,于2023年9月-2024年10月,采用便利抽样法选取芜湖市第四人民医院儿童青少年科和心理科的110例青少年抑郁症患者为研究对象,随机分为观察组(n=55)和对照组(n=55)。观察组患者接受基于Snyder希望理论联合感恩情绪护理干预方案,对照组患者接受常规精神科护理。分别在基线(T1)以及干预后2周(T2)和6周(T3),采用希望水平量表、抑郁自评量表、述情障碍量表进行数据收集,进行重复测量方差分析。结果 共计108例患者完成了干预,其中观察组53例,对照组55例,结果显示,在测量的所有基线指标上,均未观察到统计学上的显著差异(P>0.05)。各结局指标组间效应、时间效应及交互效应均具有统计学意义(P<0.05):T2、T3的组间比较结果显示,观察组在希望水平方面的得分均高于对照组(P<0.05),述情障碍得分低于对照组。结论 该研究表明基于Snyder希望理论联合感恩情绪护理干预方案显著改善了青少年抑郁症患者的希望水平,降低其抑郁和述情障碍的发生发展风险,这些发现支持该康复手段可在临床和出院后更广泛地实施。

Abstract

Objective To explore the effects of a nursing intervention based on Snyder′s hope theory combined with gratitude emotional care on hope level, depression, and alexithymia among adolescent patients with depression. Methods A quasi-experimental study design was employed. From September 2023 to October 2024,110 adolescent patients with depression were selected using convenience sampling from the Child,Adolescent,and Psychological Department of Wuhu Fourth People′s Hospital. Participants were divided into an intervention group ( n = 55) and a control group (n= 55) based on their ward assignment. The intervention group received nursing care based on Snyder′s hope theory combined with gratitude emotion intervention,while the control group received routine psychiatric nursing. Data were collected at baseline (T1),2 weeks post-intervention (T2),and 6 weeks post-intervention (T3) using the Hope Scale,Self-Rating Depression Scale,and Toronto Alexithymia Scale. Repeated measures analysis of variance was used for statistical analysis. Results A total of 108 patients completed the intervention,including 53 in the intervention group and 55 in the control group. No statistically significant differences were observed in any baseline measurements between the two groups (P>0.05). Significant group effects, time effects,and interaction effects were found for all outcome indicators (P<0.05). Intergroup comparisons at T2 and T3 showed that the intervention group scored significantly higher on hope level (P<0.05) and significantly lower on self-rated depression and alexithymia compared to the control group. Conclusion This study demonstrated that the nursing intervention based on Snyder′s hope theory combined with gratitude emotional care significantly improved hope levels and alleviated depression and alexithymia in adolescent patients with depression. These findings support that this rehabilitative intervention can be more widely implemented in clinical practice and post-discharge settings.

关键词

抑郁 / 青少年 / Snyder希望理论 / 感恩情绪干预 / 述情障碍 / 希望水平

Key words

Depression / Adolescents / Snyder′s hope theory / Gratitude intervention / Alexithymia / Hope level

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基金资助

安徽省护理学会项目(AHHLb202102)

芜湖市卫健委项目(WHWJ2021y073)

芜湖市卫健委项目(WHWJ2023y059)