摘要
目的探讨基于时机理论的戒酒干预对酒精性肝病患者戒酒效果的影响。方法采用便利抽样法抽取解放军第960医院泰安医疗区肝病科2018年7月至2019年6月住院治疗的酒精性肝病患者106例为研究对象,采用随机数字法分为观察组和对照组,每组53例。对照组采用常规护理,并通过对患者的认知及支持系统的改善,在住院期间实施简短的戒酒干预;观察组在对照组干预的基础上接受基于时机理论的戒酒干预。于出院后1、6个月分别比较2组患者在复饮率、酒精依赖程度、身心状况三方面的差异。结果最终,对照组49例完成研究,观察组51例完成研究。观察组患者出院后1、6个月的复饮率分别为21.57%(11/51)、15.69%(8/51),对照组分别为40.82%(20/49)、36.73%(18/49),2组比较差异有统计学意义(χ2值为4.328、5.754,P<0.05)。观察组患者出院后1、6个月的酒精依赖程度得分分别为0(2,3)、0(1,2)分,均低于对照组的2(0,3)、3(1,4)分,差异有统计学意义(Z值为-6.719、-7.345,P<0.01)。2组患者干预前和出院后1个月症状自评量表(SCL-90)评分比较差异无统计学意义(P>0.05);观察组和对照组患者出院后6个月SCL-90得分分别为(8.26±1.37)、(10.11±1.68)分,2组比较差异有统计学意义(t值为6.046,P<0.01)。结论时机理论应用于酒精性肝病患者的戒酒过程中,医护人员通过分阶段对患者和家属实施干预,可显著降低酒精性肝病患者的复饮率和酒精依赖程度,改善患者身心状态。
Objective To explore the effect of alcohol abstinence intervention based on timing theory on patients with alcoholic liver disease.Methods A total of 106 patients with alcoholic liver disease hospitalized in the Department of liver disease of Taian Medical District,960th Hospital of Chinese PLA from July 2018 to June 2019 were selected by convenience sampling method and divided into observation group and control group by random digits table method,53 cases in each group.The control group received routine nursing,and through the improvement of patients'cognition and support system,implemented short abstinence intervention during hospitalization;the observation group received abstinence intervention based on timing theory on the basis of the control group intervention.At 1 month and 6 months after discharge,the differences of rehydration rate,alcohol dependence and physical and mental status between the two groups were compared.Results Finally,49 cases in the control group completed the study,and 51 cases in the observation group completed the study.The rehydration rates of the observation group were 21.57%(11/51)and 15.69%(8/51)respectively at 1 month and 6 months after discharge,while those of the control group were 40.82%(20/49)and 36.73%(18/49)respectively at 1 month and 6 months after discharge.The difference was statistically significant(χ2 values were 4.328,5.754,P<0.05).The alcohol dependence scores were 0(2,3),0(1,2)in the observation group and 2(0,3),3(1,4)in the control group at 1 month and 6 months after discharge,and the difference was statistically significant(Z values were-6.719,-7.345,P<0.01).There was no significant difference in the score of Symptom Checklist-90(SCL-90)before intervention and 1 month after discharge between the two groups(P>0.05).Six months after discharge,the score of SCL-90 was 8.26±1.37 in the observation group and 10.11±1.68 in the control group,and the difference was statistically significant(t value was 6.046,P<0.01).Conclusions The application of timing theory in alcohol abstinence of patients with alcoholic liver disease can significantly reduce the relapse rate and the degree of alcohol dependence of patients with alcoholic liver disease,improve the physical and mental state of patients.
作者
苏南南
范树腾
伊庆强
王娜
和焕
张增伟
Su Nannan;Fan Shuteng;Yi Qingqiang;Wang Na;He Huan;Zhang Zengwei(Area 1,Liver Disease Center,Taian Medical District,960th Hospital of Chinese PLA,Taian 271000,China;Taishan Nursing Vocational College,Taian 271000,China)
出处
《中国实用护理杂志》
2021年第20期1527-1533,共7页
Chinese Journal of Practical Nursing
基金
2020年泰安市科技创新发展项目(2020ZC352)。
关键词
肝疾病
酒精性
时机理论
戒酒干预
复饮率
酒精依赖程度
身心状态
Liver diseases,alcoholic
Timing theory
Abstinence intervention
Relapse rate
Degree of alcohol dependence
Physical and mental state
作者简介
通信作者:范树腾,Email:fanshuteng@163.com,电话:0538-8839310。
