社会心理干预对戒毒后操守率的影响

目的·· :探讨海洛因依赖者脱毒后进行社会心理干预对其康复的作用。方法··:对90例躯体脱毒后的海洛因依赖者进行2 -2.5个月的心理康复训练 ,训练内容包括 :文体活动、认知疗法、动机强化治疗、生活技能训练等 ,回归社会后要求其定期到指定地点进行尿检、心理辅导、集体治疗和家庭治疗 ,并对其追踪监控。结果··:90例康复者中 ,出院后就脱失的38例 ,占42.2 % ;进行尿检随访52例 ,占57.8 %。52例随访者中保持操守12个月的5例 ,占随访人数的9.6 % ,占所有康复者的5.6 % ;操守6个月的19例 ,占随访人数的36.5 % ,占所有康复者的21.1 % ;操守3个月的37例 ,占随访人数的71.2 % ,占所有康复者的41.1 % ;操守1个月的45例 ,占随访人数的86.5 % ,占所有康复者的50 % ;在1个月内复吸的7例 ,占随访人数的13.5 % ,占所有康复者的7.8 %。结论··:海洛因依赖者躯体脱毒后进行有效的社会心理干预能在一定程度上提高操守率

EFFECTIVENESS OF PSYCHOSOCIAL INTERVENTION ON DRUG ABUSERS' REHABILITATION

Objective: To explore the effectiveness of psychosocial intervention on drug abusers' rehabilitation. Method: 90 cases who had successfully gone through the treatment of physical dependence took part in a 2-2.5 month social psychological intervention and training which included entertainment, cognitive psychotherapy, motivational enforcement, social skill training, and a follow up observation, periodical urine test program were carried out after they left the hospital. Result: Out of the 90 cases, 38(53.7%) lost contact right after they released from the hospital. 52(57.8%) joined the follow up program. Among them, 5 (9.6%) remained drug free longer than 12 months, 19 (36.5.%) more than 6 months, 37(71.1%) over 3 months, 45(86.5%) more than one month; 7(13.5%) relapsed within a month. Conclusion: A comprehensive psychosocial intervention contributes greatly to the decrease of relapse rate of drug abuse.