| Research Purpose:This study aims to design a set of family-centered non-drug intervention methods for adolescent depression,and explore the effects of this method on parent-child relationship,depressive symptoms,and quality of life of adolescent depression patients.Research Methods:A total of 106 adolescent patients with depression who were admitted to the Psychosomatic Disorders Department and the Psychiatric Outpatient Department of a Grade A psychiatric hospital in Zhejiang Province from January to November in 2020 were selected.The subjects were randomly divided into study group and control group,53 cases in each group.The control group was treated with drug therapy and routine nursing,and the study group implemented family-centered psychological education intervention method on the basis of the control group.The main form of intervention was a combination of online and offline,with an average length of30～60min,once every 2 weeks,for a total of 8 weeks.Using the Parent-Child Relationship Diagnostic Test(PCRT),Hamilton Rating Scale of Depression(HAMD-17)and Quality of Life Scale for Children and Adolescents(QLSCA)were evaluated at baseline and at 8 weeks.Statistical methods are mainly test and chi-square test.Research Results:The final sample size of this study was 97 cases,50 cases in the study group and 47 cases in the control group.Among them,3 cases fell off in the study group and 6 cases in the control group,a total of 9 cases.(1)Comparison of general data: there was no significant difference between the two groups in gender,age,ethnicity,educational level,only child,family composition,educational level of family members,medical history of present disease,past history and family history of mental illness(P>0.05),indicating comparability.(2)Comparison of parent-child relationship: there was no statistical significance in the total score of PCRT and the scores of each dimension between the two groups before intervention(P>0.05),which was comparable.The results showed that after 8 weeks of treatment,the total PCRT scores of the subjects in the two groups had statistically significant differences(P<0.01),and there were statistically significant differences in the scores of negative rejection,positive rejection,strict,expectation,interference,restless,doting,blind follower and contradictory(P<0.01).There was no significant difference in the scores of inconsistency(P>0.05).Comparison in the group,the team after 8 weeks intervention PCRT total score and each dimension score difference had statistical significance(P<0.01),the total score of the control group after 8 weeks treatment PCRT differences statistically significant(P<0.01),the dimension scores of expect,interferometric,restlessness,blindly and inconsistent score differences statistically significant(P<0.05)in the negative refused,actively refused,strict,spoil and contradictions score differences have no statistical significance(P>0.05).(3)Comparison of the level of depression: there was no significant difference in HAMD-17 scores between the two groups before intervention(P>0.05),which was comparable.The results showed that there was a significant difference in HAMD-17 scores between the two groups after intervention(P<0.01).The HAMD-17 scores of the study group and the control group were significantly different before and after the intervention(P<0.05),and the depressive symptoms of the subjects in both groups were reduced.The HAMD-17 score of the study group was 9.02±4.10,while that of the control group was 16.45±4.85,indicating a greater degree of relief of the depressive symptoms in the study group.(4)Comparison of the quality of life of adolescents: there was no significant difference between the total QLSCA score and the scores of all factors between the two groups before intervention(P>0.05),which indicated that the two groups were comparable.The results showed that the total QLSCA scores of the subjects in the two groups after 8 weeks of treatment had statistically significant differences(P<0.01),and the scores of social psychological function,living environment and satisfaction with quality of life had statistically significant differences(P<0.01),while the scores of physical and mental health had no statistically significant differences(P>0.05).Within the group,the total score of the team after 8 weeks intervention QLSCA differences statistically significant(P<0.01),in every factor score difference have statistical difference(P<0.05),the total score of the control group after 8 weeks treatment QLSCA no statistically significant difference(P>0.05),the social psychological function and quality of life satisfaction score differences statistically significant(P<0.05),the physiological and psychological health and living environment score differences no statistical significance(P>0.05).Research Conclusion:(1)Family-focused psychoeducational therapy can effectively improve the family parent-child relationship,depressive symptoms and quality of life of adolescent patients with depression,routine nursing method can improve their depressive symptoms and family parent-child relationship.(2)The improvement effect of family-focused psychoeducational therapy was better than conventional nursing method.(3)Family-focused psychoeducational therapy can be applied to clinical nursing as a set of convenient and easy to operate non-drug intervention methods. |
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