共情训练对青少年首发抑郁症患者抑郁症状、情感功能的干预效果  

Effect of empathy training on depressive symptoms and emotional function in adolescents with first-episode depression

作　　者：赵颖逾 何叶亭 齐佳悦 陈宏美[1] 侯玉玲[1] 朱慧颖 魏昆岭 王丽娜[2] ZHAO Yingyu;HE Yeting;QI Jiayue;CHEN Hongmei;HOU Yuling;ZHU Huiying;WEI Kunling;WANG Lina(Department of Clinical Psychology,Qinhuangdao Jiulong Mountain Hospital,Hebei Province,Qinhuangdao066000,China;Department of Nursing,Hebei Provincial Mental Health Center,Hebei Province,Baoding071000,China)

机构地区：[1]河北省秦皇岛市九龙山医院临床心理科,河北秦皇岛066000 [2]河北省精神卫生中心护理部,河北保定071000

出　　处：《中国医药导报》2024年第16期171-173,共3页China Medical Herald

基　　金：河北省卫生健康委员会科研基金项目(20200139)。

摘　　要：目的分析共情训练对青少年首发抑郁症(FED)患者抑郁症状、情感功能的干预效果。方法选择河北省秦皇岛市九龙山医院2020年1月至2022年1月住院的82例青少年FED患者,以随机数字表法将其分为对照组、观察组,每组41例。对照组给予叙事护理干预,观察组在对照组基础上给予共情训练,两组干预4周。比较两组护理前后汉密尔顿抑郁量表(HAMD)、重复性成套神经心理状态测验(RBANS)、健康调查量表36(SF-36)评分;比较两组的满意度。结果护理后,两组HAMD评分均较护理前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。护理后,两组RBANS、SF-36评分均较护理前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组满意度优于对照组,差异有统计学意义(P<0.05)。结论共情训练可减轻青少年FED患者抑郁症状,改善情感功能、认知功能,提高患者满意度。Objective To analyze the effect of empathy training on depressive symptoms and emotional function in adolescent patients with first-episode depression(FED).Methods A total of 82 adolescent FED patients hospitalized in Qinhuangdao Jiulong Mountain Hospital,Hebei Province from January 2020 to January 2022 were selected,and they were divided into control group and observation group by random number table method,with 41 cases in each group.The control group was given narrative nursing intervention,and observation group was given empathy training on the basis of control group,both groups were treated for four weeks.The scores Hamilton depression scale(HAMD),repeatable battery for the assessment of neuropsychological status(RBANS),36-item short form health survey(SF-36)before and after nursing between two groups were compared,and the satisfaction of two groups was compared.Results After nursing,the scores of HAMD in both groups were lower than before nursing,and those in observation group were lower than those in control group,and the difference were statistically significant(P<0.05).After nursing,the scores of RBANS and SF-36 in both groups were higher than before nursing,and those in observation group were higher than those in control group,and the difference were statistically significant(P<0.05).The satisfaction of observation group was better than that of control group,and the difference was statistically significant(P<0.05).Conclusion Empathy training can effectively alleviate depressive symptoms,improve emotional function,cognitive function,and patient satisfaction in adolescent FED patients.

关 键 词：叙事干预 共情训练 青少年 首发抑郁症 

分 类 号：R473.74[医药卫生—护理学]