酒精戒断综合征患者综合护理干预的对照研究  

Control study of comprehensive nursing intervention in patients with alcohol withdrawal syndrome

作　　者：赵桂霞[1] 梁先锋[1] 张振文[2] 陈启辉[3] 黄丽秀[4] 

机构地区：[1]广东省江门市新会区沙堤医院护理部,529100 [2]广东省江门市新会区沙堤医院一病区,529100 [3]广东省江门市新会区沙堤医院二病区,529100 [4]广东省江门市新会区沙堤医院工娱科,529100

出　　处：《中华现代护理杂志》2008年第16期1764-1767,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨临床综合护理干预对酒精戒断综合征患者的临床疗效。方法将60例酒精戒断性震颤谵妄患者随机分成综合护理干预组（研究组）和一般护理干预组（对照组），每组各30例。研究组在药物治疗的基础上配合一般性护理、心理护理、认知行为矫正、健康教育等措施；对照组只在药物治疗的基础上给予一般性护理措施。采用酒精戒断综合征评定量表、抑郁自评量表（SDS）、焦虑自评量表（SAS）、临床疗效总评量表（CGI）评定其疗效。结果研究组戒断综合征评定量表和临床疗效总评量表（CGU在治疗后第14天评分分别为（2．56±0．70），（3．10±0．20）分，对照组为（8．56±1．05），（4．10±0．20）分；抑郁自评量表（SDS）、焦虑自评量表（SAS）第14天的评分与对照组相比，均有统计学意义（P〈0．01）。结论在药物治疗的基础上合并综合护理干预措施有助于提高酒精戒断综合征患者的疗效，巩固其康复效果。Objective To explore the clinical efficacy of comprehensive nursing intervention on patients with alcohol withdrawal syndrome in clinic. Methods 60 cases of alcohol withdrawal delirium tremors were randomly divided into the integrated nursing intervention group （the research group ） and the general nursing intervention group （the control group）, with 30 cases in each group. On the basis of drug therapy, the general care, psychological care, cognitive behavior modification, health education and other measures were adopted in the research group. Only the general nursing measure was given in the control group on the basis of drug therapy. The efficacy was assessed using the alcohol withdrawal syndrome scale, self-rating depression scale （SDS）, self-rating anxiety scale （SAS）, and clinical global impression （CGI）. Results The scores of the alcohol withdrawal syndrome scale and clinical global impression （CGI） in the 14th day in the research group were （2.56 ± 0.70） and （ 3.10 ± 0.20 ）, respectively, which were significantly lower than those of the control group. And the scores of the self-rating depression scale （SDS） and self-rating anxiety scale （SAS） in the 14th day also were significantly lower than those of the control group. There was a statistical meaning （ P 〈 0. 01 ）. Conclusions The integrated nursing intervention in combination with the drug therapy contributes to the curative effect of alcohol withdrawal syndrome patients.

关 键 词：酒精 戒断综合征 护理干预 

分 类 号：R473.74[医药卫生—护理学]