青少年抑郁症患者疾病感受与体验质性研究的Meta整合

A meta-synthesis of qualitative research on illness perceptions and experiences in adolescents with depression

导出

摘要目的系统评价和整合青少年抑郁症患者的疾病感受与体验,为制订精准干预方案提供参考。方法系统检索国内外数据库中关于青少年抑郁症患者疾病体验的质性研究,检索时限为建库至2025年1月。采用JBI循证卫生保健中心质性研究质量评价标准对文献进行质量评价,运用汇集性Meta整合方法对结果进行整合。结果共纳入13篇研究,提取出23个研究结果,归纳为9个类别,形成3个整合结果:青少年抑郁症患者面临多重困境,青少年抑郁症患者自伤与自杀的复杂心理体验,青少年抑郁症患者的内部调适与外部支持。结论青少年抑郁症患者面临多重困境,普遍存在情感支持缺失、社交退缩等核心问题,建议构建家庭-学校-社会三位一体的协同干预机制,提升对青少年心理健康和抑郁症的重视程度,关注青少年的心理需求。 Objective To systematically evaluate and synthesize the illness perceptions and experiences of adolescents with depression,and to provide a reference for developing precise intervention strategies.Methods We systematically searched qualitative studies on the illness experiences of adolescents with depression across relevant databases from inception to January 2025.Methodological quality of the included literature was assessed using the Critical Appraisal Checklist for Qualitative Research from the Joanna Briggs Institute,and the meta-aggregative methodology was used to analyze and integrate the findings from the included literature.Results Thirteen studies were included.Twenty-three findings were extracted,categorized into 9 groups,and synthesized into 3 overarching themes:adolescents with depression face multiple challenges;complex psychological experiences related to self-harm and suicide among adolescents with depression;internal adjustment and external support utilized by adolescents with depression.Conclusion Adolescents with depression encounter multiple challenges,including lack of emotional support and social withdrawal.It is recommended to establish a trinity collaborative intervention system involving family,school,and society,to enhance the prioritization of adolescent mental health and depression awareness,and to focus on the psychological needs of adolescents.

作者张福艳张雪芹翟捷花木森张斯佳 Zhang Fuyan;Zhang Xueqin;Zhai Jie;Hua Musen;Zhang Sijia(School of Nursing,Shandong First Medical University(Shandong Academy of Medical Sciences),Tai′an 271016,China)

机构地区山东第一医科大学(山东省医学科学院)护理学院

出处《护理学杂志》北大核心 2025年第16期79-84,共6页 Journal of Nursing Science

关键词青少年抑郁症疾病体验自杀自伤 Meta整合心理护理循证护理 adolescents depression illness experience self-harm and suicide meta-synthesis psychological nursing evidence-based nursing