摘要
目的:构建体感运动游戏干预方案并应用,为临床开展青少年抑郁症心理护理与康复提供参考。方法:基于行为激活理论,通过文献回顾、半结构式访谈、德尔菲专家函询构建体感运动游戏干预方案。于2024年10月至2025年2月,便利抽取广州市某三级甲等精神病专科医院的72例青少年抑郁症患者为研究对象,随机分为干预组和对照组各36例。对照组接受常规治疗和护理,干预组在对照组基础上实施体感运动游戏干预方案。干预前后采用抑郁行为激活量表简版、运动自我效能感量表、汉密尔顿抑郁量表-17项评估干预效果。结果:方案终稿含9个干预主题、42条干预措施。干预3周后,干预组抑郁行为激活量表总分(32.83±6.54)及行为激活维度得分(23.72±5.64)、运动自我效能感量表总分[37.00(31.25,50.75)]高于对照组[25.81±5.72,18.06±6.13,24.50(15.75,41.75)],差异均有统计学意义(P<0.05)。结论:基于行为激活理论的体感运动游戏干预方案,对促进青少年抑郁症患者行为激活、提升运动自我效能感具有积极作用,可为临床开展该人群心理照护提供参考。
Objective:To construct and apply an exergame intervention program,providing a reference for clinical psychological nursing and rehabilitation of adolescents with depression.Methods:Based on the behavioral activation theory,the exergame intervention program was developed through a literature review,semi-structured interviews,and the Delphi expert consultation.From October 2024 to February 2025,a convenience sample of 72 adolescents with depression was recruited from a tertiary grade A psychiatric hospital in Guangzhou and randomly assigned to either an intervention group or a control group,with 36 cases in each group.The control group received conventional treatment and nursing,while the intervention group received exergame intervention program on the basis of the control group.The effectiveness of the intervention was assessed using the Behavioral Activation for Depression Scale Short Form(BADS-SF),Self-Efficacy for Exercise Scale(SEE)and Hamilton Depression Scale-17 Items(HAMD-17)before and after the intervention.Results:The final intervention program consisted of 9 themes and 42 measures.After 3 weeks of intervention,the BADSSF scores,behavioral activation dimension scores and SEE scores in the intervention group[32.83±6.54,23.72±5.64,37.00(31.25,50.75)]were significantly higher than those in the control group[25.81±5.72,18.06±6.13,24.50(15.75,41.75)](P<0.05).Conclusion:The intervention program of exergame based on behavioral activation theory has a positive effect on promoting the behavioral activation level and enhancing the exercise self-efficacy of adolescents with depression,which can provide a reference for clinical psychological care of this population.
作者
陈宇琦
王慕瑶
孔佑婧
刘晶晶
陈瑜
CHEN Yuqi;WANG Muyao;KONG Youjing;LIU Jingjing;CHEN Yu(School of Nursing,Southern Medical University,Guangzhou,510515,China)
出处
《中国护理管理》
北大核心
2026年第2期194-199,共6页
Chinese Nursing Management
基金
国家自然科学基金面上项目(72274090,72574096)
广东省研究生教育创新计划项目(2025KCJS_022)
广东省本科高校教学质量与教学改革工程项目(粤教高函〔2024〕30号)。
关键词
青少年
抑郁症
行为激活理论
体感运动游戏
方案构建
方案应用
adolescents
depression
behavioral activation theory
exergame
construction of program
application of program
