摘要
目的探讨酒精性肝病患者的酒精依赖程度、戒酒影响因素及相关护理干预措施。方法采用密西根酒精依赖调查量表（MAST）和社会支持评定量表（SSRS）对42例酒精性肝病住院患者和44例健康志愿者进行测评，分析酒精依赖程度及戒酒影响因素，并提出护理干预措施。结果酒精性肝病患者的MAST评分：1例总分≤3分，2例总分≤5分，11例总分≤10分，28例总分〉10分，提示绝大多数患者酒精依赖，且较严重。而SSRS总分显著低于健康志愿者[（35．71±6．34）比（42．23±7．63）分；t=4．250，P〈0．01]。影响戒酒的因素包括相关医学知识不足，自我控制能力差，缺乏社会支持系统，家庭影响。结论酒精性肝病患者酒精依赖严重，社会支持程度较低，护士应针对每位患者的情况，进行个体化的评估，实施相应护理干预。
Objective To investigate the alcohol dependence, influencing factors and related care in patients with alcoholic liver disease （ALD）. Methods Totals of 42 patients with ALD as experimental group were evaluated by Michigan Alcoholism Screening Test （MAST） and Social Support Rating Scale （SSRS）, and 44 healthy volunteers were also tested as control group. The alcohol dependence, influencing factors of ALD patients were analyzed and corresponding care was taken. Results Compared with the control group, SSRS score of ADL patients was significantly lower [ （35.71 ±6.34） vs （42.23±7.63） ; t =4. 250, P 〈0.01 ]. And the ADL patients＇ MAST scores were significantly higher： ≤3（1 case）, ≤5（2 cases）, ≤10（11 cases）,〉 10 （28 cases ）. The influencing factors of alcohol withdrawl of ALD patients were lacking of medical knowledge, poor self-control, lacking of social support systems, and family influence. Conclusions ALD patients usually with severe alcohol dependence and lower social support levels. So nurses should carry out individualized evaluation on the circumstances of each patients and take corresponding intervention.
出处
《中华现代护理杂志》
2013年第5期523-525,共3页
Chinese Journal of Modern Nursing
关键词
肝疾病
酒精性
护理
酒精依赖
影响因素
Liver diseases, alcoholic
Nursing
Alcohol dependence
Influencing factors
