200. Multidimensional intervention strategy: nursing therapy for depression based on physical education and social activities
Abstract Background Patients with depression often exhibit persistent low mood, anhedonia, and social withdrawal, accompanied by reduced physical activity and impaired social functioning. These factors interact to further exacerbate symptom maintenance and relapse risk. Although pharmacotherapy and psychotherapy play a central role in clinical care, some patients still face challenges such as insufficient motivation, low social engagement, and reliance on single-intervention pathways during rehabilitation, which limit the overall nursing outcomes. In recent years, multidimensional intervention strategies integrating physical activity, structured education, and social interaction have gained increasing attention. Physical education can improve bodily arousal and emotional regulation, while social activities help alleviate feelings of isolation and enhance a sense of support. However, systematic nursing research on the synergistic effects of these two approaches remains limited. To address this, the study employs a multidimensional intervention framework, using randomization and multi-time watch evaluations to investigate the therapeutic effects and underlying mechanisms of nursing interventions combining physical education and social activities for depression patients. Methods The study enrolled 342 patients meeting the diagnostic criteria for depressive disorder who completed baseline assessments and were randomly assigned to one of three 12-week nursing interventions: (1) an integrated physical education and social activities intervention group (n = 116), which included structured exercise guidance, health education, and group social activities; (2) a standalone physical education nursing group (n = 112); and (3) a conventional nursing control group (n = 114). Key outcome measures included severity of depressive symptoms, emotional regulation ability, social functioning level, and subjective sense of support. These indicators were evaluated at baseline, intervention completion, and 3-month follow-up. Statistical analysis employed a mixed-effects model to compare the efficacy of different nursing strategies and used regression analysis to examine the predictive role of changes in emotional regulation and social support in symptom improvement. Results The experimental results demonstrated that, compared to the single physical education group and the conventional nursing group, the multidimensional intervention group exhibited a significant reduction in depressive symptoms at the end of the intervention (p<.001, d = 0.53), with sustained improvement maintained during the follow-up phase (p=.003). Mechanistic indicators revealed that the multidimensional intervention group showed a significant enhancement in emotional regulation capacity (p=.005, d = 0.44), along with concurrent improvements in social functioning and subjective sense of support (p=.008, d = 0.40). Further analysis revealed that enhanced emotional regulation capacity (p=.02) and increased sense of social support (p=.01) could significantly predict lower levels of depressive symptoms during the follow-up phase. This indicates that emotional regulation and social support may serve as important mediating pathways for the long-term efficacy of multidimensional nursing interventions. Discussion Multidimensional nursing interventions based on physical education and social activities can significantly improve the emotional state of patients with depression, demonstrating favorable sustained effects during follow-up. Studies indicate that multidimensional integrated interventions help compensate for the limitations of single-nursing models, serving as an important supplement to long-term care and rehabilitation management for depression. Future research could further optimize the combination ratios of different intervention elements and explore their application value in community and primary care systems.
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