护理延伸服务降低酒精所致精神障碍患者复饮的效果  

The effect of extended care service in the prevention of relapse in patients with alcohol-induced mental disorders

作　　者：蒋菊芳[1] 张紫娟[2] 蔡燕[1] 周红芳[2] 

机构地区：[1]南京医科大学附属无锡精神卫生中心精神科,无锡市214151 [2]南京医科大学附属无锡精神卫生中心居家开放病区,无锡市214151

出　　处：《中华护理杂志》2014年第5期556-559,共4页Chinese Journal of Nursing

摘　　要：目的探讨护理延伸服务在酒精所致精神障碍患者中的临床应用效果。方法 80例患者按所居住的社区街道入组,北塘区为干预组(41例),崇安区为对照组(39例)。两组患者住院期间均予以常规护理和健康教育,出院时予健康指导。干预组于出院转入社区后,予持续进行护理延伸服务,并建立延伸服务档案。两组患者随访12个月,采用社会支持评定量表(SSRS)评定社会支持程度和戒酒情况,并计算复饮率。结果随访12个月末时,干预组患者主观支持、客观支持和对支持的利用度得分显著高于对照组(P<0.01);戒酒效果好于对照组(χ2=10.722),复饮率低于对照组(χ2=8.816),两组差异具有统计学意义(P<0.01)。结论护理延伸服务能提高患者社会支持水平,提高戒酒效果,降低复饮率。Objective To evaluate the effects of extended care service in patients with alcohol-induced mental disorders. Methods Eighty patients with alcohol-induced mental disorders were divided into two groups according to the communities they lived. All patients received routine care,health education and discharge education. In addition, community-based extended care service was provided for the 41 patients in the experimental group. The patients were investigated with Social Support Rating Seale（SSRS） at 12 months after intervention. Moreover,the patients＇ alcohol cessation level was investigated. Results At 12 months after intervention,the scores of subjective support, objective support and utilization of support in the experimental group were significantly higher than those in the control group（P〈0.01）;the effect of alcohol cessation was better and the incidence of relapse was significantly lower in the experimental than those in the control group（P〈0.01）. Conclusion Extended care service can improve the social support of patients with alcohol-induced mental disorders,enhance the effect of alcohol cessation and reduce the rate of relapse.

关 键 词：精神病 酒精中毒性 护理 随访研究 

分 类 号：R473.74[医药卫生—护理学]