四川精神卫生2025，Vol.38Issue(5)：450-456,7.DOI:10.11886/scjsws20241008003
结构化健康教育对青少年情绪相关障碍患者照顾者压力的影响
Effect of structured health education on the caregiver burden of adolescent patients with mood disorders
摘要
Abstract
Background The adolescent mood disorders become more prevalent,imposing progressively greater perceived and actual caregiving burdens on caregivers,while the current health education resources,delivery formats and training programs remain insufficient in addressing their needs.Objective To evaluate the effect of structured health education on the caregiver burden associated with adolescent mood disorders,thereby informing evidence-based strategies for alleviating the burden.Methods A total of 195 caregivers of adolescent inpatients with mood disorders admitted to a tertiary general hospital in Mianyang from June 1,2020 to July 31,2022 were consecutively enrolled and randomly assigned to either the research group(n=99)or the control group(n=96)using random number table method.Both groups received routine health education.In addition,the research group participated in a structured health education program comprising three modules covering disease knowledge,medication management,coping with family stress,and guidance for daily living.Upon admission,baseline information regarding both caregivers and adolescent inpatients was collected though a self-administered questionnaire.Caregiver Strain Index(CSI)was administered to assess caregiver burden at admission,discharge,and 1,3 and 6 months post-discharge.A self-designed health education feedback questionnaire was administered on the day of discharge to evaluate caregivers'feedback on the health education.At 6 months post-discharge,data on any hospital readmission were collected.Results Ultimately,85 caregivers(85.86%)in the research group and 84 caregivers(87.50%)in the control group completed the study.Generalized estimating equation analysis revealed significant time effects and group-by-time interaction effects on CSI scores between the two groups(Wald χ²=790.347,10.047,P<0.05 or 0.01).There was no statistically significant difference between the two groups in terms of access to disease information,trust preference and core information needs(P>0.05).Additionally,caregivers in the research group reported significantly better understanding of the disease-related knowledge and higher ratings on the effectiveness of health education when compared to the control group,with statistically significant differences(P<0.01).Conclusion In contrast to routine health education,structured health education may help alleviate caregiving burden among caregivers of adolescents with mood disorders.关键词
结构化健康教育/青少年情绪相关障碍/照顾者Key words
Structured health education/Adolescent mood disorders/Caregiver分类
临床医学引用本文复制引用
蒋伶俐,魏作霖,夏博呈,杜春红,王丹,向良成,黄明金..结构化健康教育对青少年情绪相关障碍患者照顾者压力的影响[J].四川精神卫生,2025,38(5):450-456,7.基金项目
四川省医学会项目(项目名称:儿童青少年重性精神疾病患者家长健康教育标准化课程开发与应用研究,项目编号:Q190004)[Funded by Sichuan Medical Association Project(number,Q190004)] （项目名称:儿童青少年重性精神疾病患者家长健康教育标准化课程开发与应用研究,项目编号:Q190004）
