心理干预对慢性酒精中毒患者情绪及生活质量的影响

目的:探讨心理干预对酒精中毒患者心理状态及生活质量的影响。方法:选择本院住院及急诊留观酒精中毒患者80例作为观察对象。随机分成干预组(40例)及对照组(40例),对照组采用常规药物治疗及对症处理。干预组在此基础上增加心理疗法。心理干预采用集中健康教育,调整生活方式;行为疗法;心理疏导及要求家属协助治疗等方法。采用抑郁自评量表和焦虑自评量表测评患者抑郁、焦虑症状情况和自拟生活质量量表4周后测定生活质量情况,并计算复饮率。结果:80份问卷均完整合格。(1)抑郁、焦虑评分干预组4周后与清醒后比较差异有统计学意义(P<0.05),而对照组4周后与清醒后比较差异无统计学意义(P>0.05);4周后两组抑郁、焦虑评分比较差异有统计学意义(P<0.05)。(2)干预组与对照组生活质量量表的评分,情感得分、健康指数、生活满意度及客观生活质量比较两组差异均有统计学意义(P均<0.05)。(3)4周后干预组为17.5%(7/40),对照组为92.5%(37/40),两组比较有显著性差异有统计学意义(P<0.01)。结论:酒精中毒患者存在不同程度的心理功能障碍。进行药物及对症治疗的同时,实施有效的心理干预可以改善患者的不良情绪,改善患者对饮酒的拒绝程度,有助于提高生活质量。

Influence of psychological intervention on the emotion and life quality of patients with chronic alcoholism

Objective： To investigate influence of psychological intervention on the emotion and life quality of patients with chronic alcoholism.Methods： Eighty patients with alcoholism were randomly divided into intervention group（40 cases） and control group（40 cases）,both groups were given routine drugs and symptomatic treatment,the intervention group was also given an extra psychological intervention including health education,lifestyle guidance,behavior management,psychological counseling and family support.Self-rating depressive scale（SDS） and self-rating anxiety scale（SAS） were used to evaluate the emotional status of these patients.Four weeks later,their life quality scores with quality of life scale,and the repeat were calculated.Results： Eighty valid questionnaires were collected.（1） For the convention group,both SDS and SAS scales after 4 weeks of treatment was significantly different from that before intervention（P0.05）,while for the control group there was no similar significance was observed（P0.05）.Besides,comparison of SDS and SAS scales of the two groups after 4 weeks of treatment showed significant differences（P0.05）.（2） Items of quality of life scale including emotion scores,health indicators,life satisfaction and objective quality of life comparison between the two groups showed significant differences（P all 0.05）.（3） Four weeks after the treatment,17.5%（7/40） patients in the convention group drunk alcohol again,while 92.5%（37/40） of the control group did the same,showing significant difference between them（P0.01）.Conclusions： Patients with alcoholism suffer from different degrees of psychological problems.Psychological intervention combing with symptomatic treatment and routine drugs can improve patients＇ negative mood and help them to get rid of alcoholism.