行为转变理论的教育干预对酒依赖患者健康信念和应对方式的影响  

Effects of educational intervention based on behavioral change theory on health beliefs and coping styles of alcohol-dependent patients

作　　者：万勉 许世阳 WAN Mian;XU Shiyang(Department of Psychiatry,Yichang Youfu Hospital,Yichang 443000,China;Department of Psychiatry,Yichang Central People's Hospital)

机构地区：[1]湖北省宜昌市优抚医院精神科,443000 [2]宜昌市中心人民医院精神科

出　　处：《中国健康心理学杂志》2023年第11期1612-1617,共6页China Journal of Health Psychology

基　　金：湖北省自然科学基金(编号:2018CFB462)。

摘　　要：目的:探讨基于行为转变理论的教育干预对酒依赖患者健康信念和应对方式的影响。方法:将2021年4月-2022年4月于某院住院治疗的80例酒依赖患者依据入院时间分为对照组和研究组,两组各40例。对照组予以常规健康教育干预,研究组予以基于行为转变理论的教育干预。比较两组干预前后健康信念、应对方式,比较两组干预后3个月酒精依赖度及干预前后生活质量,并评估其干预满意度。结果:干预后,两组健康信念量表各维度评分均高于干预前,且研究组各评分显著高于对照组(t=3.685,6.822,8.653,6.223,4.528;P<0.05);干预后,两组“面对”应对方式评分均升高,“回避”、“屈服”应对方式评分均降低,且研究组“面对”应对方式评分显著高于对照组,“回避”、“屈服”应对方式评分显著低于对照组(t=3.690,-3.930,-5.454;P<0.05);干预后3个月,研究组的酒精依赖度明显轻于对照组(Z=5.681,P<0.05);干预后,两组生活质量综合评定问卷(GQOLI)各维度评分均升高,且研究组各评分显著高于对照组(t=2.718,4.177,5.178,2.645;P<0.05);研究组的干预满意度显著高于对照组(χ^(2)=6.646,P<0.05)。结论:对酒精依赖患者应用基于行为改变理论的教育干预能有效提升其健康信念,改善其应对方式,减轻其对酒精的依赖程度,提高患者生活质量,其且该干预方法临床满意度高。Objective:To explore the effect of educational intervention based on behavioral change theory on health beliefs and coping styles in patients with alcohol dependence.Methods:A total of 80 patients with alcohol dependence who were hospitalized in our hospital from April 2021 to April 2022 were divided into a control group and a research group according to the time of admission,with 40 cases in each group.The control group was given routine health education intervention,while the research group was given education intervention based on behavioral change theory.The health beliefs and coping styles of the two groups before and after the intervention were compared,and the alcohol dependence 3 months after the intervention and the quality of life before and after the intervention were compared between the two groups,and their satisfaction with the intervention was evaluated.Results:After the intervention,the scores of each dimension of the Health Belief Scale in the two groups were higher than those before the intervention,and the scores in the study group were significantly higher than those in the control group(t=3.685,6.822,8.653,6.223,4.528;P<0.05);After the intervention,the scores of"face"coping style in both groups were increased,and the scores of"avoidance"and"yield"coping style were decreased,and the score of"face"coping style of the research group was significantly higher than that of the control group,and the scores of"avoidance"and"yield"coping style score was significantly lower than that of the control group(t=3.690,-3.930,-5.454;P<0.05);3 months after the intervention,the alcohol dependence of the research group was significantly lighter than that of the control group(Z=5.681,P<0.05).After the intervention,the scores of each dimension of the Comprehensive Assessment Questionnaire for Quality of Life(GQOLI)in the two groups were increased,and the scores in the research group were significantly higher than those in the control group(t=2.718,4.177,5.178,2.645;P<0.05);The intervention satisfaction in the rese

关 键 词：行为转变理论 健康信念 应对方式 酒精依赖 生活质量 

分 类 号：R395.5[哲学宗教—心理学]