提高抑郁症严重程度和医疗复杂性儿童父母的家庭管理的正念应用程序:试点研究
Cara Gallegos1,2, Valerie Boebel Toly3, Matthew Bailey2
1Providence Health & Services, North Division, Everett, Washington, USA.
Journal for specialists in pediatric nursing : JSPN
|November 30, 2025
概括
在医疗复杂性的孩子的父母中,正念应用程序的使用显著改善了抑郁症和家庭管理. 这项试点研究表明,数字心理健康干预措施的可行性和可接受性是有希望的.
科学领域:
- 数字心理健康干预措施.
- 在儿科护理中的家长福利.
- 移动健康 (mHealth) 应用程序.移动健康应用程序.
背景情况:
- 患有医疗复杂性 (CMC) 的孩子的父母经常在家庭管理方面面临重大挑战,并经历更高的抑郁率.
- 对父母心理健康的早期发现和干预对于支持患有CMC的家庭至关重要.
研究的目的:
- 评估对CMC的家长进行正念移动应用程序 (app) 干预的初步可行性,使用,可接受性和有效性.
- 收集关于基于应用程序的正念对父母抑郁症和家庭管理的影响的初步数据.
主要方法:
- 一项单臂试点研究涉及28名CMC父母使用正念应用程序10-15分钟,每周4天4周.
- 抑郁症的严重程度 (患者健康问卷-9) 和家庭管理 (家庭管理措施) 在基线和4周后被评估.
- 收集了使用数据和应用程序对易用性和推性的评级.
主要成果:
- 大多数家长发现该应用程序易于使用,并会推它 (92.8%).
- 在干预后的抑郁症严重程度和家庭管理得分中观察到有统计学意义的改善.
- 使用应用程序的较长时间与抑郁症严重程度有负相关性 (p < 0.01).
结论:
- 正念应用程序的干预显示出 CMC 的父母经历抑郁和家庭管理困难的可行性,可接受性和初步有效性.
- 这项试点研究支持mHealth工具在儿科综合护理中解决家长心理健康问题的潜力.
- 需要进一步的研究,以在更大的受控试验中证实这些发现.
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