基层医学论坛2023年8月第27卷第24期论关于抑郁发作的青少年患者自我概念的质性研究邱伟芬1钱俊1杨婧²彭洪2董丽婷3*1安宁市第一人民医院，云南安宁650399)（2大理大学护理学院，云南大理671000)（3空军军医大学第一附属医院，陕西西安710032)【摘要】目的深入了解抑郁发作的青少年患者在抑郁心境下的自我概念现状，使医护人员能更好地了解其心理过程，并提供心理服务。方法采用目的抽样法，选取在某院门诊进行心理咨询并经医生确诊为抑郁发作的12名青少年患者，以半结构式访谈收集资料并用Colaizzi七步分析法分析提炼主题。结果最终提炼出5个主题，即自我意象歪曲、自我功能评价偏低、自我空洞与迷范感、自我无意义感、人际关系冲突及退缩。结论抑郁发作期青少年患者自我概念消极、自我认同感偏低，护理人员需正确认识其消极自我概念，并提供个体化心理护理，帮助患者提高自我概念清晰化，以促进患者抑郁情绪的改善，保障患者安全。【关键词】青少年；抑郁发作；自我概念；质性研究Aqualitativestudyofself-conceptinadolescentswithdepressiveepisodesQiuWeifen',QianJun',YangJing,PengHong,DongLiting*.Il.TheAnningFirstPeople'Hospital,Anning,Yunnan650399;2.TheSchoolofNursingofDaliUniversity,Dali,Yunnan671000;3.TheFirstAffiliatedHospitalofAirForceMedicalUniversity,Xi'an,Shaanxi710032[Abstract]ObjectiveTounderstandthestatusofself-conceptofadolescentpatientswithdepressioninordertohelpmedicalstaffbetterunderstandtheirpsychologicalprocessandprovidepsychologicalservices.MethodsUsingobjectivesamplingmethod,12adolescentpatientswhowerediagnosedasdepressiveepisodebydoctorsintheoutpatientdepartmentofahospitalwereselected.Thedatawerecollectedbysemi-structuredinterviewandthesubjectswereanalyzedandrefinedbyColaizzisevenstepanalysismethod.ResultsFivethemeswerefinallyextracted,namelydistortionofself-image,lowself-functionevaluation,selfemptinessandconfusion,selfunconsciousness,interpersonalconflictandwithdrawal.ConclusionAdolescentpatientswithdepressiveepisodehavenegativeself-conceptandlowself-identity.Nursesshouldcorrectlyunderstandtheirnegativeself-conceptandprovideindividualizedpsychologicalcaretohelpthemimprovetheirself-conceptclarity,soastoimprovetheirdep...
