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本科护理专业学生抑郁症的积极心理治疗与自我效能:一项随机对照试验。

Positive psychotherapy for depression and self-efficacy in undergraduate nursing students: A randomized, controlled trial.

作者信息

Guo Yu-Fang, Zhang Xia, Plummer Virginia, Lam Louisa, Cross Wendy, Zhang Jing-Ping

机构信息

Nursing Psychology Research Center of Xiangya Nursing School, Central South University, Changsha, Hunan, China.

School of Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.

出版信息

Int J Ment Health Nurs. 2017 Aug;26(4):375-383. doi: 10.1111/inm.12255. Epub 2016 Sep 16.

DOI:10.1111/inm.12255
PMID:27633932
Abstract

Nursing students across the globe experience depressive symptoms, and many interventions have been used to alleviate their depression. However, few interventions focus on students' personal strengths and advantages. The aim of the present study was to explore the effects of an 8-week group positive psychotherapy (PPT) programme on depression and self-efficacy in full-time undergraduate nursing students. A randomized, controlled trial was conducted for 76 nursing students (34 in the experimental group, 42 in the control group). The Beck Depression Inventory-II and the General Self-Efficacy Scale were used to collect data prior to, immediately after PPT, 3 months', and 6 months' post-PPT. Repeated-measures analysis of variance indicated that the intervention significantly alleviated depression and improved self-efficacy (each P < 0.05); the effect of time and time-group interaction was also significant (each P < 0.05). The findings suggest that PPT could significantly relieve depressive symptoms and improve self-efficacy. We recommend that PPT is effective in alleviating depression and improving self-efficacy in undergraduate nursing students. Academic mental health nurses should appreciate the value of PPT and consider incorporating it in psychological support methods in order to facilitate nursing students' mental health.

摘要

全球范围内的护理专业学生都经历过抑郁症状,并且已经采用了许多干预措施来缓解他们的抑郁情绪。然而,很少有干预措施关注学生的个人优势和长处。本研究的目的是探讨为期8周的团体积极心理治疗(PPT)方案对全日制本科护理专业学生抑郁和自我效能感的影响。对76名护理专业学生进行了一项随机对照试验(实验组34名,对照组42名)。在PPT治疗前、治疗结束后即刻、治疗后3个月和6个月,使用贝克抑郁量表第二版和一般自我效能量表收集数据。重复测量方差分析表明,该干预措施显著缓解了抑郁情绪并提高了自我效能感(各P<0.05);时间和时间-组间交互作用的效应也具有显著性(各P<0.05)。研究结果表明,PPT可以显著缓解抑郁症状并提高自我效能感。我们建议,PPT在缓解本科护理专业学生的抑郁情绪和提高自我效能感方面是有效的。学术心理健康护士应认识到PPT的价值,并考虑将其纳入心理支持方法中,以促进护理专业学生的心理健康。

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