叙事护理对自杀未遂抑郁症患者的有效性：一项初步随机对照试验

IF 2.1 4区心理学 Q2 PSYCHOLOGY, EXPERIMENTAL

Acta Psychologica Pub Date : 2025-04-30 DOI:10.1016/j.actpsy.2025.105039

Liu Junyu , Luo Yuan , Wang Jianjian RN , Zhang Zhanchou , Zhao Liping

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引用次数: 0

摘要

背景和目的自杀行为，包括自杀意念和自杀企图，是抑郁症患者的常见症状，是抑郁症总体负担的重要组成部分。本研究旨在建立一种基于自杀三步理论的叙事式护理方法，并应用该方法初步探讨其对自杀未遂抑郁症患者的护理效果。方法将50例抑郁、高自杀意念患者随机分为干预组和对照组，干预组在常规护理的基础上给予基于自杀三步理论的叙述性护理，对照组只给予常规护理。比较干预前后两组患者抑郁程度、药物态度、自杀意念的差异。本研究已在中国临床试验注册中心正式注册(注册号：ChiCTR2300079100)。结果本研究共纳入50例患者，干预组25例，对照组25例。干预组失访6例，对照组失访4例。干预后，干预组在抑郁、药物态度和自杀意念得分上均较对照组有显著效果。结论以自杀三步理论为基础的护理可以缓解抑郁情绪，改善用药态度，从而提高用药依从性和治疗依从性，减轻自杀意念。因此，该方法可以进一步应用于探索长期效果。

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Effectiveness of narrative nursing on depression patients with suicide attempt: A preliminary randomized controlled trial

Background and objectives

Suicidal behavior, encompassing both suicidal ideation and attempts, is a common symptom among individuals with depression, significantly contributing to the overall burden of the illness. This study aimed to develop a narrative nursing method based on the Three-Step Theory of Suicide and applied this method to explore its preliminary effectiveness in depression patients with suicide attempts.

Methods

50 patients with depression and high suicide ideation were randomly allocated to two groups: an intervention group, which received narrative nursing based on the Three-Step Theory of Suicide alongside usual nursing, and a control group, which received only usual nursing. The differences in depression levels, drug attitudes, and suicidal ideation were compared between the two groups both before and after the intervention. This study has been officially registered in the China Clinical Trial Registry (Registration No. ChiCTR2300079100).

Results

A total of 50 patients were enrolled in this study, with 25 patients in the intervention group and 25 patients in the control group. 6 participants were lost to follow-up in the intervention group, and 4 participants were lost to follow-up in the control group. After the intervention, the intervention group showed significant effectiveness compared to the control group in the score of depression, drug attitude and idea of suicide.

Conclusions

Narrative nursing base on Three-Step Theory of Suicide could relieve depression, improve drug attitudes, thereby enhancing medication and treatment adherence, and alleviate suicidal ideation. Therefore, the method could be further applied to explore long-term effects.

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来源期刊

Acta Psychologica PSYCHOLOGY, EXPERIMENTAL-

CiteScore

3.00

自引率

5.60%

发文量

274

审稿时长

36 weeks

期刊介绍： Acta Psychologica publishes original articles and extended reviews on selected books in any area of experimental psychology. The focus of the Journal is on empirical studies and evaluative review articles that increase the theoretical understanding of human capabilities.