氟西汀联合认知心理治疗对海洛因依赖患者生存质量的影响  

Quality of Life of Heroin Dependent Patients with therapeutic alliance with fluoxetine medicine therapy and cognitive therapy

作　　者：张清荷[1] 刘胜皇[1] 

机构地区：[1]荆州市精神卫生中心,湖北荆州434000

出　　处：《中国民康医学》2009年第23期2957-2960,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨联合使用氟西汀及氟西汀联合认知心理治疗对海洛因依赖患者生存质量的影响及区别。方法:将80例入院的自愿戒毒的患者随机分成氟西汀干预组(40例)和氟西汀联合认知心理治疗干预组(40例),观察八周。采用《世界卫生组织生存质量测定量表简表》对干预前后所有患者的生存质量进行评价,并对生存质量的各个领域进行分析评价。结果:氟西汀联合认知心理治疗能显著改善海洛因依赖患者的生存质量的生理领域、心理领域和社会关系领域的评分,但其生存质量仍然比正常人低。结论:氟西汀联合认知心理治疗能显著改善海洛因依赖患者生存质量,更多的干预的参加能进一步改善患者的生存质量。Objective：To investigate the difference of the quality of life of heroin dependent patients between fluoxetine medicine therapy and therapeutic alliance with fluoxetine and cognitive therapy. Methods：80 cases who receive therapy voluntarily were divided into two groups randomly, treated with fluoxetine and fluoxetine and cognitive therapy for 8 weeks. The WHO Quality of Life Scale （WHOQOL- BREF） was used to assess the Quality of Life before and after intervened therapy and the difference between the two groups in four domains in WHOQOL - BREF were analyzed with SPSS. Results： Therapeutic alliance with fluoxetine and cognitive therapy can improve the scores of physiological domain, psychological domain and social relationship domain distinctly, but the scores of the four domains were also under the level of normal people. Conclusions： Therapeutic alliance with fluoxetine and cognitive therapy can improve the quality of life of heroin dependent patients obviously and more methods of intervention to heroin dependent patients should be used to improve the quality of life further.

关 键 词：氟西汀 认知心理治疗 海洛因依赖 生存质量 

分 类 号：R749.6[医药卫生—神经病学与精神病学]