To explore the application effect of knowledge-to-action (KTA) framework-based health management in adolescents with depressive disorder in remote counties.

Ninety-four adolescents with depressive disorder coming from remote countries were recruited from the Second Affiliated Hospital of Nanchang University from June to December 2020. They were randomly divided into a routine group (receiving a 12-week routine health management) and a KTA group (receiving a 12-week KTA framework-based health management) . At the time of enrollment and 12 weeks after intervention, the status of non-suicidal self-injury was assessed by the Adolescent Non-suicidal Self-injury Assessment Questionnaire (ANSAQ) , mobile phone use was evaluated by the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use (SQAPMPU) , the anxiety was evaluated with the score of the Screen for Child Anxiety Related Emotional Disorders (SCARED) , and the depression was assessed by the Depression Self-Rating Scale for Childhood (DSRS) .

Two groups had no significant differences in mean total scores of ANSAQ, SQAPMPU, SCARED, and DSRS before receiving intervention (P>0.05) .Two groups had no significant differences in each dimension score of SQAPMPU before receiving intervention (P>0.05) .After the 12-week intervention, the mean total scores of ANSAQ, SQAPMPU, SCARED, and DSRS decreased significantly in both groups (P<0.05) , and they were lowered more significantly in the KTA group (P<0.05) , the each dimension score of SQAPMPU decreased significantly in both groups (P<0.05) , and they were lowered more significantly in the KTA group (P<0.05) .

KTA framework-based health management could effectively reduce the incidence of non-suicidal self-injury and the problematic use rate of mobile phones, relieve the anxiety and depression in adolescents with depressive disorder in remote counties, indicating that this type of health management may have good applicability as an outpatient management in this group.

探讨基于知识转化模式（KTA）的健康管理模式在偏远县城青少年抑郁障碍患者中的应用效果。

选取南昌大学第二附属医院2020年6—12月收治的90例偏远县城青少年抑郁障碍患者为研究对象，采用随机数字表法分为常规组（n=45）和KTA组（n=45）。常规组患者入组后接受常规健康管理模式干预，KTA组患者入组后接受基于KTA的健康管理模式干预，所有患者入组后持续观察12周。于干预前及入组后12周，以青少年非自杀性自伤行为问卷评估患者非自杀性自伤行为；以青少年手机使用依赖自评问卷（SQAPMPU）评估患者手机依赖情况；以儿童焦虑性情绪障碍筛查量表（SCARED）评估患者焦虑情绪；以儿童抑郁障碍自评（DSRS）评估患者抑郁情绪。

干预前两组患者青少年非自杀性自伤行为问卷得分、SQAPMPU各维度得分及总分、SCARED得分、DSRS得分比较，差异均无统计学意义（P>0.05）。两组患者入组后12周青少年非自杀性自伤行为问卷得分、SQAPMPU各维度得分及总分、SCARED得分、DSRS得分均低于干预前（P<0.05）。KTA组青少年非自杀性自伤行为问卷得分、SQAPMPU各维度得分及总分、SCARED得分、DSRS得分低于常规组（P<0.05）。

基于KTA的健康管理模式有效减少了偏远县城青少年抑郁障碍患者的非自杀性自伤行为和手机依赖情况，减轻了患者的焦虑、抑郁情绪，能较好地应用于偏远县城青少年抑郁障碍的门诊管理中。