摘要
目的探讨戒酒互助会(AA)对酒精依赖患者防止复饮的效果影响。方法选取2013年4月—2014年4月浙江省温州市第七人民医院确诊治疗的酒精依赖患者86例,随机分配为互助组(家庭亚组、现场亚组)和对照组,对照组给予常规1次/月随访干预,互助组给予1次/2周的AA干预,为期6个月,统计分析所有患者负性情绪、心理渴求程度、戒酒动机强度情况、复饮情况。结果 3组干预后的SAS、SDS、心理渴求程度方面存在明显差异(F=6.27,P<0.05),即家庭亚组<现场亚组<对照组(P<0.05);在戒酒前动机强度方面,家庭亚组>现场亚组>对照组(P<0.05);在1年内各时段复饮率方面,家庭亚组>现场亚组>对照组(P<0.05)。结论 AA可有效改善酒精依赖患者负性情绪和心理渴求程度,保持患者戒酒动机强度,降低患者戒酒后复饮率,结合家庭干预具有更为良好的效果。
Objective To examine intervention effect of Alcoholic Anonymus（AA） on drinking relapse among pa- tients with alcohol dependence. Methods Totally 86 patients with alcohol dependence undertaking treatment in a hospital were recruited from April 2014 through April 2015 and randomly divided into a peer support group and a control group and the participants in the peer support group were assigned into either a family intervention subgroup or a site interven- tion subgroup based on the convenience of the AA;the participants in the control group were given conventional follow- up intervention of one time/per month and those in the peer support group were given AA intervention of one time/per two weeks. Self-Rating Anxiety Scale （SAS）, Self-Rating Depression Scale（ SDS）, motivation assessment questionnaire, and alcohol craving scale were adopted to collect information on negative mood, psychological desire, and drinking moti- vation intensity in the survey. All the participants were followed up for one year and the status of drinking relapse was re- corded once per 3 months. Results The average score of SAS and SDS were 49. 61 ± 6.47 and 53.46 ± 6.43 for family subgroup,57.59 ±7.02 and 60. 36 ±7.11 for field subgroup,and 66. 29 ±7.13 and 69.82 ±7.04 for control group,re- spectively. The family subgroup had the lowest scores for SAS, SDS, psychological desire, and drinking motivation inten- sity, followed by the field subgroup, and the control group had the highest, with significant differences among the groups （P 〈0. 05）. The combined rate of drinking relapse during the one year follow-up was 22.73% for field subgroup and 42. 86% for site subgroup;for the control group,the drinking relapse rate was 62.79% at the 8th month of the follow-up and then increased to 74.42% ;among the three groups, the family subgroup had a lower drinking relapse rate, while the control group had a higher drinking relapse rate, with significant differences （ all P 〈 0. 05 ）. Conclusion AA can effec- tively improve negative emotions and psychological desire, promote abstinence motivation, and decrease drinking relapse among the patients with alcohol dependence.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2015年第6期816-818,共3页
Chinese Journal of Public Health
基金
温州市医药卫生科研项目(2014B23)
关键词
戒酒互助会
酒精依赖
复饮
Alcoholic Anonymus
alcohol dependence
drinking relapse
