舞动疗愈护理在青少年抑郁障碍患者康复过程中的应用研究  

Application of dance/movement therapy in the rehabilitation of adolescent patients with depressive disorder

作　　者：汪琳 鲍丽萍[2] 何厚红 曹娟[3] 牧婷 常艳勤 WANG Lin;BAO Liping;HE Houhong;CAO Juan;MU Ting;CHANG Yanqin(Department of Clinical Psychology,The fourth People′s Hospital of Wuhu,Wuhu 241000,China)

机构地区：[1]芜湖市第四人民医院临床心理科,安徽芜湖241002 [2]芜湖市第四人民医院门诊部,安徽芜湖241002 [3]芜湖市第四人民医院儿少科,安徽芜湖241002

出　　处：《皖南医学院学报》2023年第4期405-408,共4页Journal of Wannan Medical College

基　　金：安徽省护理学会科研项目(AHHLb202102)。

摘　　要：目的:探讨舞动疗愈护理在青少年抑郁障碍患者康复过程中的应用。方法:选取2021年12月~2023年2月在芜湖市第四人民医院治疗的青少年抑郁障碍患者90例为研究对象,分为观察组和常规组各45例。常规组使用精神科常规护理,观察组在常规组的基础上增加12次舞动疗愈护理,采用简易应对方式问卷、匹兹堡睡眠质量指数量表、汉密尔顿抑郁量表-24(HAMD-24)、汉密尔顿焦虑量表-14(HAMA-14),分别于基线期及干预后进行评估。比较两组治疗前后评分,评价舞动疗愈的干预效果,评估两组患者的应对方式、睡眠质量、抑郁情绪和焦虑情绪。结果:两组患者干预后积极应对评分均提升,消极应对评分均下降(P<0.05);观察组干预前后积极应对评分上升幅度优于常规组(P<0.05)。两组患者干预后抑郁和焦虑情绪评分均下降(P<0.05);观察组干预前后抑郁情绪评分下降幅度优于常规组(P<0.05)。两组患者干预后PSQI得分均下降(P<0.05);且观察组干预前后PSQI得分下降幅度优于常规组(P<0.05)。结论:舞动疗愈护理应用于青少年抑郁障碍的患者,可缓解青少年患者的负性情绪,改善患者的应对方式,提高患者的睡眠质量,有助于青少年患者回归社会。Objective:To explore the application of dance/movement therapy in the rehabilitation of adolescents with depressive disorder.Methods:Ninety adolescents with depression,treated in the Wuhu Fourth People's Hospital between November 2021 and February 2023,were recruited as the research subjects,and allocated to observational group and control group(n=45 in each group).Patients in the control group underwent routine psychiatric nursing,and those in the observational group were given 12 additional sessions of dance therapy on the basis of routine nursing.Then the two groups were evaluated using the Simplified Coping Style Questionnaire(SCSQ),Pittsburgh Sleep Quality Index(PSQI),Hamilton Depression Scale-24(HAMD-24)and Hamilton Anxiety Scale-14(HAMA-14)before and after intervention.The scores were compared to evaluate the intervention effect of dance therapy and assess the coping style,sleep quality,depression,and anxiety of the two groups.Results:After intervention,the scoring on positive coping style was increased in both groups(P<0.05),and the increase was dominant in observational group over the control group(P<0.05).The scoring on depression and anxiety was decreased in both groups after intervention(P<0.05),yet the decrease was more significant in the observational group compared to the control group(P<0.05).PSQI scores were decreased in both groups following intervention(P<0.05),whereas the decrease was better in the observational group than in the control group(P<0.05).Conclusion:Application of dance/movement therapy in adolescents with depression can alleviate their negative emotions,improve their coping style and sleep quality,and be conducive to their reintegration into society.

关 键 词：青少年 抑郁障碍 舞动疗愈护理 情绪应对 

分 类 号：R473.74[医药卫生—护理学]