团体心理治疗联合延续性护理在酒精依赖所致精神障碍患者康复中的应用价值

doi:10.3760/cma.j.issn.1007-1245.2023.12.031

国际医药卫生导报 ›› 2023, Vol. 29 ›› Issue (12): 1764-1768.DOI: 10.3760/cma.j.issn.1007-1245.2023.12.031

团体心理治疗联合延续性护理在酒精依赖所致精神障碍患者康复中的应用价值

张芳¹ 张丽² 庄庆杰² 周连杰³ 杨国芳² 庞庆利²

¹聊城市第四人民医院药物依赖科，聊城　252000；²聊城市第四人民医院精神科，聊城　252000；³聊城市传染病医院药房，聊城　252000

收稿日期:2022-12-09 出版日期:2023-06-15 发布日期:2023-06-26
通讯作者: 张芳，Email：zhangfang20080106@163.com
基金资助:
聊城市科学技术成果项目（［2020］55号）

Application value of group psychotherapy combined with continuous nursing care in rehabilitation of patients with mental disorders caused by alcohol dependence

Zhang Fang¹, Zhang Li², Zhuang Qingjie², Zhou Lianjie³, Yang Guofang², Pang Qingli²

¹Department of Drug Dependence, Liaocheng Fourth People's Hospital, Liaocheng 252000, China; ²Department of Psychiatrics, Liaocheng Fourth People's Hospital, Liaocheng 252000, China; ³Pharmacy Room, Liaocheng Hospital of Infectious Diseases, Liaocheng 252000, China

Received:2022-12-09 Online:2023-06-15 Published:2023-06-26
Contact: Zhang Fang, Email: zhangfang20080106@163.com
Supported by:
Project of Scientific and Technological Achievement in Liaocheng (NO.202055)

摘要/Abstract

摘要：

目的　探讨团体心理治疗联合延续性护理在酒精依赖所致精神障碍患者康复中的应用价值。方法　选择2020年2月至2021年2月聊城市第四人民医院就诊的酒精依赖所致精神障碍患者102例，随机数字表法分为常规组和联合组。常规组，男51例，年龄27～69（54.74±8.74）岁，给予团体心理治疗；联合组，男51例，年龄28～72（55.47±8.81）岁，在常规组的基础上给予延续性护理。两组均治疗3个月。比较治疗前后两组成人生活质量量表（GQOLI-74）、抑郁自评量表（SDS），比较治疗3个月后早期康复情况，采用t检验与χ²检验。结果　两组治疗3个月后的GQOLI-74评分高于治疗前，且联合组GQOLI-74评分高于常规组［（75.74±10.28）分比（68.57±9.14）分］，差异有统计学意义（t=3.72，P<0.05）。两组治疗3个月后的SDS评分低于治疗前，且联合组SDS评分低于常规组［（24.74±3.94）分比（32.74±4.85）分］，差异有统计学意义（t=9.14，P<0.05）。治疗3个月后，联合组早期康复评分高于常规组［（12.14±1.34）分比（8.24±0.82）分］，差异有统计学意义（t=20.82，P<0.05）。结论　团体心理治疗联合延续性护理应用于酒精依赖所致精神障碍患者康复中，可使患者提高生活质量，改善抑郁情绪，提升康复效果，值得推广应用。

关键词:

酒精依赖, 精神障碍, 延续性护理, 团体心理治疗, 康复效果

Abstract:

Objective　To explore the application value of group psychotherapy combined with continuous nursing care in the rehabilitation of patients with mental disorders caused by alcohol dependence. Methods　A total of 102 male patients with mental disorders caused by alcohol dependence treated in Liaocheng Fourth People's Hospital from February 2020 to February 2021 were selected, and divided into a conventional group and a combined group by the random number table method, with 51 cases in each group. The conventional group were 27-69 (54.74±8.74) years old. The combined group were 28-72 (55.47±8.81) years old. The conventional group took group psychotherapy, and the combined group continuous nursing care and group psychotherapy, for 3 months. The scores of Human Quality of Life Scale (GQOLI-74) and Self-rating Depression Scale (SDS) before and after the treatment and the early recovery after 3 months' treatment were compared between the two groups. t and χ² tests were applied. Results　After 3 months' treatment, the score of GQOLI-74 in the combined group was higher than that in the conventional group [(75.74±10.28) vs. (68.57±9.14)], with a statistical difference (t=3.72, P<0.05). The scores of SDS in both groups were lower after than before the treatment; the score of SDS after 3 months' treatment in the combined group was lower than that in the conventional group [(24.74±3.94) vs. (32.74±4.85)], with a statistical difference (t=9.14, P<0.05). After 3 months' treatment, the score of early recovery in the combined group was higher than that in the conventional group [(12.14±1.34) vs. (8.24±0.82)], with a statistical difference (t=20.82, P<0.05). Conclusion　Group psychotherapy combined with continuous nursing care in the rehabilitation of patients with mental disorders caused by alcohol dependence can improve their quality of life, depression, and rehabilitation effect, so it is worthy of promotion and application.

Key words:

Alcohol dependence, Mental disorders, Continuous nursing care, Group psychotherapy, Rehabilitation effect

张芳张丽庄庆杰周连杰杨国芳庞庆利.

团体心理治疗联合延续性护理在酒精依赖所致精神障碍患者康复中的应用价值 [J]. 国际医药卫生导报, 2023, 29(12): 1764-1768.

Zhang Fang, Zhang Li, Zhuang Qingjie, Zhou Lianjie, Yang Guofang, Pang Qingli.

Application value of group psychotherapy combined with continuous nursing care in rehabilitation of patients with mental disorders caused by alcohol dependence [J]. International Medicine and Health Guidance News, 2023, 29(12): 1764-1768.

参考文献

[1] 区子昌,廖君兰,姜业勤,等.不伴有躯体疾病的功能性精神障碍患者的血清胱抑素C水平研究[J].国际医药卫生导报,2020,26(15):2233-2237.DOI:10.3760/cma.j.issn.1007- 1245. 2020.15.019.
[2] 张国慧,陈灵芝,李易珍,等.延续性护理联合中医特色社区管理体系在老年科出院患者中的应用[J].中医药管理杂志,2022,30(20):95-97.DOI:10.16690/j.cnki.1007-9203. 2022.20.040.
[3] 屈婧.基于时机理论的延续性护理在耐药肺结核患者中的应用研究[D].湖南:南华大学,2021.
[4] 揭英凤,廖亚兰,王秀艳,等.团体康复护理在酒精所致精神障碍患者中的应用[J].齐鲁护理杂志,2020,26(23):15-18.DOI:10.3969/j.issn.1006-7256.2020.23.005.
[5] 曾兆荣,陈艳新.团体康复护理对酒精所致精神和行为障碍患者自尊感及社会功能的影响[J].反射疗法与康复医学,2022,3(9):171-174.
[6] Wang DH ,Zhang LB ,Zhang W ,et al.Effects of butylphthalide on cognitive function and inflammatory status in patients with acute cerebral infarction complicated with cognitive dysfunction[J].Journal of the Neurological Sciences,2021,429(21):63.
[7] Razvodovsky YE. Alcoholic psychoses in russia and belarus: a comparative analysis of trends[J].J Alcohol Drug Depend,2015,3(4):215.
[8] Deguchi I,Osada T,Takao M.Prescription status of oral anticoagulants in patients with acute cerebral infarction with non-valvular atrial fibrillation at the time of stroke onset[J].J Cardiol,2020,75(5):544-548.DOI:10.1016/j.jjcc.2019.11.002.
[9] 厄里怀恩.成瘾障碍的心理治疗:物质滥用、酒精依赖和赌博成瘾的临床治疗指南[M].北京:中国轻工业出版社,2012:14.
[10] 王坤.健康状况调查简表(SF-36)[J]. 中华神经外科杂志,2012,28(6):571.
[11] 陈莹,郭松奇.表格式管理集束化护理对急性心肌梗死患者焦虑抑郁情绪及预后的影响[J].中国病案,2019,20(12):92-95.DOI:10.3969/j.issn.1672-2566.2019.12.033.
[12] 赵慧芳.延续性护理干预对老年经皮冠状动脉介入术后患者早期康复及生活质量的影响[J].中国药物与临床,2021,21(5):869-871.DOI:10.11655/zgywylc2021.05.067.
[13] Ravikanth R.Relevance of carotid intima-media thickness and plaque morphology in the risk assessment of patients with acute ischemic cerebral infarcts: a case-control study of large series from a single center[J].J Med Ultrasound,2019,28(1):29-34.DOI:10.4103/JMU.JMU_5_19.
[14] Yury Evgeny Razvodovsky.Alcoholism and alcohol psychoses trends in russia[J].Archives of Psychiatry Research,2020,56(1):33-40.
[15] Cornelis E,Gorus E,Beyer I,et al.Early diagnosis of mild cognitive impairment and mild dementia through basic and instrumental activities of daily living: Development of a new evaluation tool[J].PLoS Med,2017,14(3):e1002250.DOI:10.1371/journal.pmed.1002250.
[16] Ohura T,Hase K,Nakajima Y,et al.Validity and reliability of a performance evaluation tool based on the modified Barthel Index for stroke patients[J].BMC Med Res Methodol,2017,17(1):131.DOI:10.1186/s12874- 017-0409-2.
[17] Obradovic D,Andjelic T,Ninkovic M,et al.Superoxide dismutase (SOD), advanced oxidation protein products (AOPP), and disease-modifying treatment are related to better relapse recovery after corticosteroid treatment in multiple sclerosis[J].Neurol Sci,2021,42(8):3241-3247.DOI:10.1007/s10072-020-04928-y.
[18] Otete H,Fleming MK,West J,et al.Healthcare utilisation, morbidities and alcohol use monitoring prior to alcoholic psychosis diagnosis[J].Alcohol Alcohol,2019,54(2):131-138.DOI:10.1093/alcalc/agy085.
[19] 何县利,郑梅,王风歌. 团体心理护理对使用酒精所致精神和行为障碍患者自我效能感的影响分析[J]. 四川解剖学杂志,2020,28(1):157-158. DOI:10.3969/j.issn.1005-1457. 2020.01.076.
[20] Olivato S,Nizzoli S,Cavazzuti M,et al.e-NIHSS: an expanded national institutes of health stroke scale weighted for anterior and posterior circulation strokes[J].J Stroke Cerebrovasc Dis,2016,25(12):2953-2957.DOI:10.1016/j.jstrokecerebrovasdis.2016.08.011.
[21] Abu Assab T,Raveh-Brawer D,Abramowitz J,et al.The predictive value of thromboelastogram in the evaluation of patients with suspected acute venous thromboembolism[J].Acta Haematol,2020,143(3):272-278. DOI:10.1159/000502348.
[22] Høyland SA,Schuchert A,Mamen A.A holistic perspective on continuing care for substance use and dependence: Results and implications from an in-depth study of a Norwegian continuing care establishment[J].Nordisk Alkohol Nark,2022,39(5):503-520.DOI:10.1177/14550725221099702.
[23] Li L,Chen H,Peng C,et al.Analysis on value of continuous nursing based on WeChat in improving healthy quality of life and self-management behavior of patients with diabetic nephropathy[J].Evid Based Complement Alternat Med,2022,2022:5131830.DOI:10.1155/2022/5131830.
[24] Zhou Y,Liu L,Gao L.Clinical effect of fuzheng guben decoction in the treatment of localized prostate cancer and its influence on immune function under continuous nursing intervention[J].Contrast Media Mol Imaging,2022,2022:3472722.DOI:10.1155/2022/3472722.
[25] Trowbridge ER,Subbarao S,Melanson M,et al.Self-assessment of nursing preparedness and knowledge in the care of patients with obstetric anal sphincter injuries and utilization of a computer-based learning module for continued nursing education in the United States[J].Midwifery,2022,115:103483.DOI:10.1016/j.midw.2022.103483.
[26] Li J,Fan X,Deng Q,et al.Significance of continuous nursing of omaha system in children after hypospadias surgery and its influence on infection complications[J].Contrast Media Mol Imaging,2022,2022:8346848.DOI:10.1155/2022/8346848.
[27] Yin S,Ou Y,Ting E.Impacts of omaha system-based continuing care on the medication compliance, quality of life, and prognosis of coronary heart disease patients after PCI[J].Braz J Cardiovasc Surg,2022,37(4):472-480.DOI:10.21470/1678-9741-2021-0222.
[28] Wang W,Lin C,Yu H,et al.A study on the application of extended care based on the biopsychosocial medicine model in people with abnormal tumor markers on physical examination[J].Contrast Media Mol Imaging,2022,2022:7547001.DOI:10.1155/2022/7547001.
[29] Ding L,Ding S,He C,et al.Clarification of issues brought up by 'Is continuing nursing interventions reduce the incidence of intraoperative pressure ulcers for breast cancer patients?'[J].Gland Surg,2022,11(8):1445-1446.DOI:10.21037/gs-2022-06.
[30] Xu L,Han X,Li L.Effect of carrying out continuous nursing based on mobile platform on the life of children with leukemia after discharge from hospital[J].Biomed Res Int,2022,2022:7300303.DOI:10.1155/2022/7300303.

团体心理治疗联合延续性护理在酒精依赖所致精神障碍患者康复中的应用价值

Application value of group psychotherapy combined with continuous nursing care in rehabilitation of patients with mental disorders caused by alcohol dependence

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