Hardin Heather K, Alchami Hana K, Connell Arin
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
Department of Psychology, Case Western Reserve University, Cleveland, Ohio, USA.
Issues Ment Health Nurs. 2021 Mar;42(3):208-215. doi: 10.1080/01612840.2020.1789783. Epub 2020 Jul 28.
The purpose of this study was to evaluate associations among depressive symptoms, trust of healthcare provider, and health behavior in adolescents who live in a rural area. Two hundred twenty-four adolescents aged 14-19 years old attending public high school in the Midwestern United States were surveyed. Results showed a diagnosis of depression, trust of healthcare provider, health awareness, and stress management predicted depressive symptoms in adolescents living in a rural area. Healthcare providers should take extra care to promote trust in the healthcare provider-patient relationship with adolescents and to follow guidelines for annual screening of adolescents for depressive symptoms. Nursing implications include adolescent psychoeducation to improve health awareness and stress management.
本研究的目的是评估生活在农村地区的青少年的抑郁症状、对医疗服务提供者的信任和健康行为之间的关联。对美国中西部地区224名年龄在14 - 19岁的公立高中青少年进行了调查。结果显示，抑郁症诊断、对医疗服务提供者的信任、健康意识和压力管理可预测农村地区青少年的抑郁症状。医疗服务提供者应格外注意促进与青少年在医患关系中的信任，并遵循青少年抑郁症状年度筛查指南。护理方面的建议包括对青少年进行心理教育，以提高健康意识和压力管理能力。
