动机强化治疗在酒精脱瘾治疗中的应用及对患者认知功能、NOSIE评分的影响  

Application of motivational intensive therapy in withdrawal treatment and its influences on cognitive function and NOSIE scores in patients with alcohol addiction

作　　者：岳静 康艳宝 彭述珊 YUE Jing;KANG Yanbao;PENG Shushan(Department of Material Dependence,Lishui Second People’s Hospital,Lishui 323000,China)

机构地区：[1]丽水市第二人民医院物质依赖科,浙江丽水323000

出　　处：《全科医学临床与教育》2020年第7期626-630,共5页Clinical Education of General Practice

摘　　要：目的探讨动机强化治疗在酒精脱瘾治疗中的应用及对患者认知功能、护士用住院观察量表(NOSIE)评分的影响。方法选取接受脱瘾治疗的酒精成瘾患者82例,按照随机数字表法分为观察组(n=41)和对照组(n=41)。对照组采用常规治疗,观察组在此基础上采用动机强化治疗。比较两组脱瘾治疗效果和治疗后认知功能、NOSIE评分、生活质量。结果观察组完全戒酒占比78.05%高于对照组41.46%,限量饮酒、未戒酒占比分别为17.07%、4.87%,均低于对照组39.02%、19.51%,两组比较,差异均有统计学意义(χ2分别=11.41、4.90、4.10,P均<0.05);治疗后,观察组定向力、抽象思维、语言、注意力、记忆力、视空间与执行、命名等维度评分均高于对照组(t分别=8.17、6.78、6.92、8.93、5.64、4.66、4.99,P均<0.05),观察组精神病性、抑郁、迟缓、激怒等维度评分均低于对照组,个人整洁、社会兴趣、社会能力等维度评分均高于对照组(t分别=-5.04、-3.03、-6.57、-4.21、4.04、4.05、3.29,P均<0.05),观察组环境领域、社会关系领域、心理领域、生理领域等评分均高于对照组(t分别=4.35、4.86、5.29、3.94,P均<0.05)。结论动机强化治疗能够提升酒精成瘾患者脱瘾治疗的效果,改善认知功能及NOSIE评分,提升生活质量。Objective To explore the application of motivational intensive therapy in withdrawal treatment and its influences on cognitive function and scores of nurses’ observation scale for inpatient evaluation(NOSIE)in patients with alcohol addiction. Methods Totally 82 patients with alcohol addiction who received withdrawal treatment were enrolled as the research objects.They were divided into observation group(n=41)and control group(n=41)by random number table method.The control group was given routine treatment,while observation group was additionally given motivational intensive therapy.The effect of withdrawal treatment,cognitive function,NOSIE scores and quality of life after treatment were compared between the two groups. Results The proportion of complete abstinence in observation group was higher than that in control group(78.05% vs 41.46%),while proportions of limited drinking and non-abstinence were lower than those in control group(χ2=11.41,4.90,4.10,P<0.05).After treatment,the scores of orientation,abstract thought,language,attention,memory,visual space and execution,and naming in observation group were higher than those in control group(t=8.17,6.78,6.92,8.93,5.64,4.66,4.99,P<0.05),while the scores of psychosis,depression,sluggishness,and irritation were lower than those in control group,and scores of individual cleanliness,social interest,and social ability were higher than those in control group(t=-5.04,-3.03,-6.57,-4.21,4.04,4.05,3.29,P<0.05).After treatment,the scores of environment,social relationship,psychological and physiological fields in observation group were higher than those in control group(t=4.35,4.86,5.29,3.94,P<0.05). Conclusion Motivational intensive therapy can improve the effect of withdrawal treatment in alcohol addiction patients,improve cognitive function,NOSIE scores and quality of life.

关 键 词：动机强化治疗 酒精成瘾 脱瘾治疗 认知功能 生活质量 

分 类 号：R749.62[医药卫生—神经病学与精神病学]