The role and challenges of parental participation in the care of children with depression
儿童抑郁症护理中家长参与的作用与挑战

摘要

目的 明确家长参与式护理对儿童抑郁症患者情绪改善、社会功能恢复及治疗依从性的影响，剖析家长参与过程中的核心挑战，为构建协同护理模式提供依据。方法 选取2025年1月至2025年6月收治的60例儿童抑郁症患者为研究对象，随机分为对照组与实验组各30例。对照组实施常规护理干预，实验组在常规护理基础上引入家长参与式护理模式，包括家长认知培训、亲子互动指导及家庭支持体系构建，干预周期3个月。采用儿童抑郁量表（CDI）、儿童社会功能评估量表（CSFA）及治疗依从性问卷收集数据。结果 实验组CDI评分（12.35±3.12分）显著低于对照组（18.76±4.25分），CSFA评分（86.24±5.31分）及治疗依从性（93.33%）显著高于对照组（72.15±6.48分、66.67%），差异有统计学意义（t=7.821、10.534，χ²=7.200，P均＜0.05）。结论 家长参与式护理可有效改善儿童抑郁症患者的抑郁情绪与社会功能，提升治疗依从性，但需针对性解决家长认知偏差、角色适配等挑战，以强化干预效果。

Abstract

Objective To clarify the impact of parental participatory care on the emotional improvement, social function recovery and treatment compliance of children with depression, analyze the core challenges in the parental participation process, and provide a basis for the construction of a collaborative care model.
Methods Sixty children with depression admitted from January 2025 to June 2025 were selected as the research subjects and randomly divided into a control group and an experimental group, with 30 cases in each group. The control group received conventional nursing intervention, while the experimental group introduced a parent-participatory nursing model on the basis of conventional nursing, including parent cognitive training, parent-child interaction guidance and the construction of a family support system. The intervention period was 3 months. Data were collected using the Child Depression Scale (CDI), the Child Social Functioning Scale (CSFA), and the Treatment Compliance Questionnaire.
Results The CDI score of the experimental group (12.35±3.12 points) was significantly lower than that of the control group (18.76±4.25 points), and the CSFA score (86.24±5.31 points) and treatment compliance (93.33%) were significantly higher than those of the control group (72.15±6.48 points, 66.67%). The differences were statistically significant (t=7.821, 10.534, χ²=7.200, all P < 0.05).
Conclusion   Parent-participatory care can effectively improve the depressive mood and social function of children with depression and enhance treatment compliance. However, it is necessary to specifically address challenges such as parents' cognitive biases and role adaptation to strengthen the intervention effect.